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CHG CORNERSTONE HOSPITAL OF LITTLE ROCK LLC NPI 1568715910


NPI Information

NPI: 1568715910
Provider Name: CHG CORNERSTONE HOSPITAL OF LITTLE ROCK, LLC

Doing Business As: CORNERSTONE HOSPITAL OF NORTH LITTLE ROCK

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization

CLIA Number: 04D2249266

Address:
1400 BRADEN ST
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 985-7026
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CHG CORNERSTONE HOSPITAL OF LITTLE ROCK, LLC is a long term care hospital in Jacksonville, AR. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. CHG CORNERSTONE HOSPITAL OF LITTLE ROCK, LLC NPI is 1568715910. The provider is registered as an organization entity type.
The provider Is Doing Business As Cornerstone Hospital Of North Little Rock.

The provider's business location address is:

1400 BRADEN ST
JACKSONVILLE, AR
ZIP 72076-721
Phone: (501) 985-7026
Fax: (501) 985-7162

The provider's authorized official is Kurt J Schultz .
The authorized official title is Cfo and has the following contact phone number (469) 621-6700.

The CLIA number assigned to this NPI record is 04D2249266 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2012 and was last updated on 5/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282E00000XLong Term Care HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1042010MEDICARE OSCAR/CERTIFICATIONARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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