Organization
BOST, INC.
Active
Other names
Bost C.A.R.E.S.
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS LYNNE STOUT (BILLING SUPERVISOR)
(479) 478-5609
Entity
Organization
Contact information
Practice address
7701 S ZERO ST, FORT SMITH, AR 72903-6644
(479) 784-1462
(479) 784-1471
Mailing address
PO BOX 11495, FORT SMITH, AR 72917-1495
(479) 478-5609
(501) 897-8339
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A1204035
AR
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
1275643355
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105894724
—
AR
01
—
109364213
LONG TERM CARE MEDICAID
AR
01
—
109365213
LONG TERM CARE MEDICAID
AR
01
—
119694213
LONG TERM CARE MEDICAID
AR
05
—
125833767
—
AR
01
—
132538786
STATE MEDICAID
AR
05
—
133310782
—
AR
05
—
149998775
—
AR
05
—
177755526
—
AR
05
—
178138724
—
AR
Enumeration date
08/30/2006
Last updated
06/26/2020
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