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PHOENIX HEALTH ASSOCIATES OF FORT SMITH NPI 1851467831


NPI Information

NPI: 1851467831
Provider Name: PHOENIX HEALTH ASSOCIATES OF FORT SMITH

Doing Business As: PHYSICIANS' DAY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3601 W E KNIGHT DRIVE
FORT SMITH, AR
ZIP 72903
Phone: (479) 709-7272
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PHOENIX HEALTH ASSOCIATES OF FORT SMITH is an ambulatory surgical clinic center in Fort Smith, AR. PHOENIX HEALTH ASSOCIATES OF FORT SMITH NPI is 1851467831. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians' Day Surgery Center.

The provider's business location address is:

3601 W E KNIGHT DRIVE
FORT SMITH, AR
ZIP 72903
Phone: (479) 709-7272

The provider's authorized official is Keith J Bolyard .
The authorized official title is Chairman, Governing Body and has the following contact phone number (479) 709-7272.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 5/13/2008.


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 SurgicalAR4378ARKANSASYes

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
1200107730AMEDICAIDOKLAHOMA
211071MEDICARE PINARKANSAS
35951120001MEDICARE NSC
4163231128MEDICAIDARKANSAS

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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