Organization
COOPER CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA G ASTIN (DIRECTOR, BUSINESS SERVICES)
(479) 274-2024
Entity
Organization
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-2004
(479) 274-2024
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2004
(479) 274-2024
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MC-0254
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110161709
—
AR
01
—
690001634
RR MEDICARE
—
Enumeration date
10/25/2006
Last updated
08/28/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us