Provider Demographics
NPI:1477549756
Name:UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Entity Type:Organization
Organization Name:UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Other - Org Name:THE UNIVERSITY HOSPITAL OF ARKANSAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOC VC FOR CLINICAL FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-686-5670
Mailing Address - Street 1:PO BOX 3920
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72203-3920
Mailing Address - Country:US
Mailing Address - Phone:501-614-2830
Mailing Address - Fax:501-666-4936
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-614-2830
Practice Address - Fax:501-666-4936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR4128282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR6130390OtherAETNA
AR106180200OtherUS DEPT OF LABOR
AR10016OtherBCBS PROVIDER NUMBER
AR026311399OtherENTERGY-DEPT OF LABOR
AR104266105Medicaid
ARHO 0002OtherOXFORD HEALTH PLAN
ARHS74572OtherUNITED HEALTHCARE