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Organization
ADVANCE CARE HOSPITAL
Active
Organization
ADVANCE CARE HOSPITAL
Active
Other names
Advance Care Hospital of Fort Smith
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK B. CARRIER (PRESIDENT/CEO)
(713) 277-2771
Entity
Organization
Contact information
Practice address
7301 ROGERS AVE, 4TH FLOOR, FORT SMITH, AR 72903-4100
(479) 314-4900
(479) 314-4980
Mailing address
7301 ROGERS AVE, 4TH FLOOR, FORT SMITH, AR 72903-4100
(479) 314-4900
(479) 314-4980
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
4139
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12008
BLUE CROSS BLUE SHIELD
AR
05
—
186857105
—
AR
01
—
3441098
AETNA PVN
AR
01
—
7697536
AETNA PIN
AR
Enumeration date
10/10/2006
Last updated
10/19/2011
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