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ARKANSAS HEART CENTER PLC NPI 1912908492


NPI Information

NPI: 1912908492
Provider Name: ARKANSAS HEART CENTER, PLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 04D1030818

Address:
4200 JENNY LIND RD
SUITE A
FORT SMITH, AR
ZIP 72901
Phone: (479) 484-1010
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ARKANSAS HEART CENTER, PLC is a clinic center in Fort Smith, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ARKANSAS HEART CENTER, PLC NPI is 1912908492. The provider is registered as an organization entity type.

The provider's business location address is:

4200 JENNY LIND RD
SUITE A
FORT SMITH, AR
ZIP 72901-660
Phone: (479) 484-1010
Fax: (479) 785-9916

The provider's authorized official is Cynthia A Ward .
The authorized official title is Practice Manager and has the following contact phone number (479) 484-1010.

The CLIA number assigned to this NPI record is 04D1030818 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 11/30/2009.


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
1261Q00000XClinic/CenterMC1808ARKANSASYes

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
15C012MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
25C012MEDICARE UPINARKANSAS
3134133002MEDICAIDARKANSAS

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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