Provider Demographics
NPI:1871775262
Name:SIGNATURE MEDICAL PARK HOSPITAL, LLC
Entity type:Organization
Organization Name:SIGNATURE MEDICAL PARK HOSPITAL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-722-2416
Mailing Address - Street 1:PO BOX 601
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71802-0601
Mailing Address - Country:US
Mailing Address - Phone:870-722-7231
Mailing Address - Fax:870-722-7291
Practice Address - Street 1:302 BILL CLINTON DR
Practice Address - Street 2:SUITE 105
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-8661
Practice Address - Country:US
Practice Address - Phone:870-722-5011
Practice Address - Fax:870-722-5685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty