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THE GREGORY KISTLER TREATMENT CENTER INC. NPI 1356307615


NPI Information

NPI: 1356307615
Provider Name: THE GREGORY KISTLER TREATMENT CENTER, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3304 S M ST
FORT SMITH, AR
ZIP 72903
Phone: (479) 785-4677
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THE GREGORY KISTLER TREATMENT CENTER, INC. is a durable medical equipment medical supplies in Fort Smith, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. THE GREGORY KISTLER TREATMENT CENTER, INC. NPI is 1356307615. The provider is registered as an organization entity type.

The provider's business location address is:

3304 S M ST
FORT SMITH, AR
ZIP 72903-903
Phone: (479) 785-4677

The provider's authorized official is Jennifer Kistler .
The authorized official title is Executive Director and has the following contact phone number (479) 785-4677.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 8/13/2012.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1117606716MEDICAIDARKANSAS

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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