Provider Demographics
NPI:1053692137
Name:HOT SPRING COUNTY MEDICAL SERVICES
Entity type:Organization
Organization Name:HOT SPRING COUNTY MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-332-1004
Mailing Address - Street 1:1001 SCHNEIDER DR
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:AR
Mailing Address - Zip Code:72104-4811
Mailing Address - Country:US
Mailing Address - Phone:501-332-1000
Mailing Address - Fax:501-332-7395
Practice Address - Street 1:1002 SCHNEIDER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:MALVERN
Practice Address - State:AR
Practice Address - Zip Code:72104-4816
Practice Address - Country:US
Practice Address - Phone:501-332-1012
Practice Address - Fax:501-332-7088
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOT SPRING COUNTY MEDICAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty