Provider Demographics
NPI:1053598649
Name:BAPTIST HEALTH
Entity type:Organization
Organization Name:BAPTIST HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CPA
Authorized Official - Phone:501-202-7480
Mailing Address - Street 1:11900 COLONEL GLENN RD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72210-2820
Mailing Address - Country:US
Mailing Address - Phone:501-202-7480
Mailing Address - Fax:501-202-7443
Practice Address - Street 1:11900 COLONEL GLENN RD
Practice Address - Street 2:SUITE 2000
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72210-2820
Practice Address - Country:US
Practice Address - Phone:501-202-7480
Practice Address - Fax:501-202-7443
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAPTIST HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-25
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management