Provider Demographics
NPI:1649452954
Name:HOPE MEDICAL PARK HOSPITAL,LLC
Entity type:Organization
Organization Name:HOPE MEDICAL PARK HOSPITAL,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GAMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-881-3650
Mailing Address - Street 1:2001 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-8124
Mailing Address - Country:US
Mailing Address - Phone:870-722-2400
Mailing Address - Fax:870-722-7158
Practice Address - Street 1:2001 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-8124
Practice Address - Country:US
Practice Address - Phone:870-722-2416
Practice Address - Fax:870-722-7278
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOPE MEDICAL PARK HOSPITAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-28
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit