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FORT SMITH HMA PBC MANAGEMENT LLC NPI 1174895940


NPI Information

NPI: 1174895940
Provider Name: FORT SMITH HMA PBC MANAGEMENT, LLC

Doing Business As: VASCULAR NEUROLOGY & MEMORY DISORDERS CLINIC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1500 DODSON AVE
SUITE 175
FORT SMITH, AR
ZIP 72901
Phone: (479) 709-7125
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FORT SMITH HMA PBC MANAGEMENT, LLC is a neurology psychiatry neurology in Fort Smith, AR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. FORT SMITH HMA PBC MANAGEMENT, LLC NPI is 1174895940. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vascular Neurology & Memory Disorders Clinic.

The provider's business location address is:

1500 DODSON AVE
SUITE 175
FORT SMITH, AR
ZIP 72901-182
Phone: (479) 709-7125
Fax: (479) 709-7127

The provider's authorized official is Michael L Gingras .
The authorized official title is Vice President and has the following contact phone number (239) 598-3131.

The enumeration date for this NPI number is 2/8/2012 and was last updated on 2/8/2012.


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
12084N0400XPsychiatry & NeurologyNeurologyYes

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
15G434MEDICARE PINARKANSAS

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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