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FORT SMITH MEDICAL CENTER LLC NPI 1770871881


NPI Information

NPI: 1770871881
Provider Name: FORT SMITH MEDICAL CENTER LLC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization

CLIA Number: 04D2273215

Address:
3811 ROGERS AVE
SUITE A
FORT SMITH, AR
ZIP 72903
Phone: (479) 434-3131
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FORT SMITH MEDICAL CENTER LLC is a nurse practitioner in Fort Smith, AR. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. FORT SMITH MEDICAL CENTER LLC NPI is 1770871881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3811 ROGERS AVE
SUITE A
FORT SMITH, AR
ZIP 72903-045
Phone: (479) 434-3131
Fax: (479) 434-3135

The provider's authorized official is Tonya Deann Beineman .
The authorized official title is Owner and has the following contact phone number (479) 434-3131.

The CLIA number assigned to this NPI record is 04D2273215 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/11/2011 and was last updated on 9/2/2011.


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
1363L00000XNurse PractitionerA01596ARKANSASYes

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
1141581758MEDICAIDARKANSAS
25W155MEDICARE PINARKANSAS
3P17765MEDICARE UPINARKANSAS

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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