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OPTIMUM AGING & INTEGRATED MEDICINE NPI 1508103029


NPI Information

NPI: 1508103029
Provider Name: OPTIMUM AGING & INTEGRATED MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2641 ROGERS AVE
FORT SMITH, AR
ZIP 72901
Phone: (479) 784-0011
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OPTIMUM AGING & INTEGRATED MEDICINE 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. OPTIMUM AGING & INTEGRATED MEDICINE NPI is 1508103029. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2641 ROGERS AVE
FORT SMITH, AR
ZIP 72901-145
Phone: (479) 784-0011
Fax: (479) 784-0012

The provider's authorized official is Terry L Hoyt .
The authorized official title is Owner and has the following contact phone number (479) 784-0011.

The enumeration date for this NPI number is 1/4/2013 and was last updated on 5/14/2013.


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 Medicine2789OKLAHOMANo
2207Q00000XFamily MedicineE-2638ARKANSASYes

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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