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FORT SMITH HMA PBC MANAGEMENT LLC NPI 1306198494


NPI Information

NPI: 1306198494
Provider Name: FORT SMITH HMA PBC MANAGEMENT, LLC

Doing Business As: SPARKS AVAILABLE MEDICAL CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7320 ROGERS AVE
SUITE 1
FORT SMITH, AR
ZIP 72903
Phone: (479) 452-6362
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FORT SMITH HMA PBC MANAGEMENT, LLC is a family medicine in Fort Smith, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FORT SMITH HMA PBC MANAGEMENT, LLC NPI is 1306198494. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sparks Available Medical Care.

The provider's business location address is:

7320 ROGERS AVE
SUITE 1
FORT SMITH, AR
ZIP 72903-164
Phone: (479) 452-6362
Fax: (479) 484-5652

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 10/12/2012 and was last updated on 11/27/2012.


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
1207Q00000XFamily MedicineYes

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: 11/14/2023

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