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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