Provider Type Icon

EXECUTIVE PARK SURGERY CENTER OF FORT SMITH INC NPI 1598068306


NPI Information

NPI: 1598068306
Provider Name: EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3314 S 70TH ST
FORT SMITH, AR
ZIP 72903
Phone: (479) 424-2744
Get Directions

EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC is an ambulatory surgical clinic center in Fort Smith, AR. EXECUTIVE PARK SURGERY CENTER OF FORT SMITH, INC NPI is 1598068306. The provider is registered as an organization entity type.

The provider's business location address is:

3314 S 70TH ST
FORT SMITH, AR
ZIP 72903-052
Phone: (479) 424-2744
Fax: (479) 424-2745

The provider's authorized official is Christopher J Rodriguez .
The authorized official title is President and has the following contact phone number (479) 424-2744.

The enumeration date for this NPI number is 12/16/2010 and was last updated on 1/4/2024.


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
1261QA1903XClinic/CenterAmbulatory SurgicalAPPLIED FORARKANSASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.