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SOUTH CENTRAL MEDICAL SERVICES P.A. NPI 1538572227


NPI Information

NPI: 1538572227
Provider Name: SOUTH CENTRAL MEDICAL SERVICES, P.A.

Doing Business As: RENAISSANCE HEALTH AND WELLNESS

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3401 ROGERS AVE
SUITE C
FORT SMITH, AR
ZIP 72903
Phone: (479) 434-4887
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SOUTH CENTRAL MEDICAL SERVICES, P.A. is a general practice in Fort Smith, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOUTH CENTRAL MEDICAL SERVICES, P.A. NPI is 1538572227. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Renaissance Health And Wellness.

The provider's business location address is:

3401 ROGERS AVE
SUITE C
FORT SMITH, AR
ZIP 72903-956
Phone: (479) 434-4887
Fax: (479) 434-4955

The provider's authorized official is Chester L Carlson .
The authorized official title is Owner/medical Director and has the following contact phone number (479) 657-6888.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 6/10/2014.


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
1208D00000XGeneral PracticeE5307ARKANSASYes

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: 4/28/2024

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