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Organization

FORT SMITH HMA HOME HEALTH, LLC

Active
Other names
Access Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA L PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization

Contact information

Practice address
4300 ROGERS AVE, STES 34 & 35, FORT SMITH, AR 72903-3143
(479) 441-5850
(479) 668-4161
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17009
BLUE CROSS BLUE SHIELD
AR
05
185307514
AR
Enumeration date
12/12/2006
Last updated
01/05/2024
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