FORT SMITH DIALYSIS SUPPLY COMPANY NPI 1518962760

NPI Information

FORT SMITH DIALYSIS SUPPLY COMPANY is a dialysis equipment and supplies durable medical equipment medical supplies in Fort Smith, AR. FORT SMITH DIALYSIS SUPPLY COMPANY NPI is 1518962760. The provider is registered as an organization entity type.

The provider's business location address is:

1506 DODSON AVE
FORT SMITH, AR
ZIP 72901-128
Phone: (479) 709-6828
Fax: (479) 709-7453

The provider's authorized official is Pamela Sue Clark .
The authorized official title is Director and has the following contact phone number (479) 709-6828.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 8/22/2020.

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:

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