ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC (NPI# 1861451114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861451114 |
| Entity Type | Organization |
| Organization Name | ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC |
| Other Organization Name | NORTH METRO MEDICAL CENTER |
| Practice Address |
1400 Braden St. Jacksonville AR 72076 |
| Mailing Address |
Po Box 159 Jacksonville AR 72078-0159 |
| Practice Telephone | 5019857000 |
| Practice Fax Number | 5019857247 |
| Mailing Telephone | 5019857000 |
| Mailing Fax Number | 5019857247 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | CINDY STAFFORD (CEO) |
| Authorized Official Telephone | 5019857000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | AR3795 | AR | Hospitals |
| Y | 282N00000X | General Acute Care Hospital | AR4519 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 128360105 | 05 | |
| AR | BLUE CROSS PROVIDER # | 10074 | 01 |
| Other Name | Type Code |
|---|---|
| North Metro Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487863619 | Allegiance Hospital of North Little Rock, LLC | General Acute Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-05-22 |
| 1912017815 | Allegiance Hospital of North Little Rock, LLC | Psychiatric Unit | 1400 Braden St., Jacksonville, AR 72076 | 2006-08-30 |
| 1013935121 | Allegiance Hospital of North Little Rock, LLC | Home Health | 1400 Braden St., Jacksonville, AR 72076 | 2006-07-17 |
| Street Address |
1400 BRADEN ST. |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912017815 | Allegiance Hospital of North Little Rock, LLC | Psychiatric Unit | 1400 Braden St., Jacksonville, AR 72076 | 2006-08-30 |
| 1013935121 | Allegiance Hospital of North Little Rock, LLC | Home Health | 1400 Braden St., Jacksonville, AR 72076 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683257 | Gainesville Vamc | General Acute Care Hospital | 2080 Child St Bldg 200h, Jacksonville, FL 32214-5005 | 2020-06-09 |
| 1922487974 | Shemaka James | General Acute Care Hospital | 5202 Wabash Blvd, Jacksonville, FL 32254-1366 | 2015-05-22 |
| 1962893149 | Michelle Porter | General Acute Care Hospital | 402 Stagecoach Dr, Jacksonville, NC 28546-8663 | 2015-02-10 |
| 1811246390 | St. Vincent's Healthcare | General Acute Care Hospital | 3 Shircliff Way Ste 714, Jacksonville, FL 32204-4786 | 2012-08-30 |
| 1255570974 | Svila Skin Solutions | General Acute Care Hospital | 1936 San Marco Blvd, Jacksonville, FL 32207-3286 | 2009-02-19 |
| 1760644009 | Walter Ruday Jr. | General Acute Care Hospital | 2748 University Blvd W, Jacksonville, FL 32217-2123 | 2008-06-27 |
| 1386801116 | Abdolreza Mohammadian | General Acute Care Hospital | 1536 N.jefferson Street, Va Outpatient Clinic, Jacksonville, FL 32209-0000 | 2008-05-20 |
| 1730697350 | Jacksonville Hospital LLC | General Acute Care Hospital | 501 S Ragsdale St, Jacksonville, TX 75766-2434 | 2018-01-17 |
| 1144735069 | Brynn Marr Hospital - Navy Resource Sharing | General Acute Care Hospital | 192 Village Dr, Jacksonville, NC 28546-7238 | 2017-12-14 |
| 1952723777 | Ivan Christopher Patrick Friant I | General Acute Care Hospital | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2014-01-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.