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Organization
VISTA HEALTH
Active
Organization
VISTA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY RACKLEY (CASE MANAGER)
(479) 420-5127
Entity
Organization
Contact information
Practice address
8720 S 32ND TER, FORT SMITH, AR 72908-8765
(479) 420-5127
Mailing address
8720 S 32ND TER, FORT SMITH, AR 72908-8765
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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