COOPER CLINIC PA NPI 1215024575

NPI Information

COOPER CLINIC PA is an ambulatory surgical clinic center in Fort Smith, AR. COOPER CLINIC PA NPI is 1215024575. The provider is registered as an organization entity type.

The provider's business location address is:

6801 ROGERS AVE
FORT SMITH, AR
ZIP 72903-067
Phone: (479) 274-2000
Fax: (479) 274-2194

The provider's authorized official is Curtis Ralston .
The authorized official title is Ceo and has the following contact phone number (479) 274-2000.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 9/1/2015.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.