Provider Demographics
NPI:1255875746
Name:ARKANSAS CHILDRENS NORTHWEST, INC.
Entity type:Organization
Organization Name:ARKANSAS CHILDRENS NORTHWEST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-364-2526
Mailing Address - Street 1:1 CHILDRENS WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3500
Mailing Address - Country:US
Mailing Address - Phone:501-364-2526
Mailing Address - Fax:501-364-2438
Practice Address - Street 1:2601 SOUTH 56TH STREET
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762
Practice Address - Country:US
Practice Address - Phone:501-364-1079
Practice Address - Fax:501-364-2438
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARKANSAS CHILDRENS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-19
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren