Basic Information
Provider Information
NPI: 1720347693
EntityType: 2
ReplacementNPI:  
OrganizationName: HOT SPRING COUNTY MEDICAL CENTER
LastName:  
FirstName:  
MiddleName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 1001 SCHNEIDER DR
Address2:  
City: MALVERN
State: AR
PostalCode: 721044811
CountryCode: US
TelephoneNumber: 5013321000
FaxNumber: 5013327395
Practice Location
Address1: 1001 SCHNEIDER DR
Address2:  
City: MALVERN
State: AR
PostalCode: 721044811
CountryCode: US
TelephoneNumber: 5013321000
FaxNumber: 5013327395
Other Information
ProviderEnumerationDate: 05/11/2012
LastUpdateDate: 05/11/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WILLIAMS
AuthorizedOfficialFirstName: SHEILA
AuthorizedOfficialMiddleName: KAY
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 5013321050
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
273R00000XAR4207ARY Hospital UnitsPsychiatric Unit 

No ID Information.


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