Organization
THE GREGORY KISTLER TREATMENT CENTER, INC.
Active
Organization
THE GREGORY KISTLER TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER KISTLER (EXECUTIVE DIRECTOR)
(479) 785-4677
Entity
Organization
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
(479) 785-4673
Mailing address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
(479) 785-4673
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000679370D
—
OK
05
—
115951742
—
AR
05
—
117606716
—
AR
01
—
47953
BCBS DME
AR
01
—
5B311
BCBS TREATMENT
AR
Enumeration date
03/21/2006
Last updated
08/13/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up