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Organization
SELECT SPECIALTY HOSPITAL - FORT SMITH INC
Active
Organization
SELECT SPECIALTY HOSPITAL - FORT SMITH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1001 TOWSON AVENUE, FORT SMITH, AR 72901-4915
(479) 441-3967
(479) 441-3961
Mailing address
4714 GETTYSBURG RD, LEGAL DEPT., MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
AR3866
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10135
BCBS AR
AR
Enumeration date
07/20/2005
Last updated
09/02/2010
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