Organization
FORT SMITH HMA, LLC
Active
Other names
Sparks Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-5214
(479) 441-3793
Mailing address
1001 TOWSON AVE, FORT SMITH, AR 72902-4921
(479) 441-4000
(479) 441-5420
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
AR
261QM2500X
Medical Specialty Clinic/Center
AR4421
AR
273Y00000X
Rehabilitation Hospital Unit
AR4421
AR
282N00000X
General Acute Care Hospital
Primary
AR4421
AR
291U00000X
Clinical Medical Laboratory
AR4421
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10055
BC/BS ACUTE
AR
05
—
100698680A
—
OK
05
—
100698680W
—
OK
05
—
105690105
—
AR
05
—
150325002
—
AR
01
—
15294
BCBS SNF
AR
01
—
5B370
AR BCBS
AR
01
—
710236920729*010000
TRICARE
AR
Enumeration date
08/15/2005
Last updated
09/19/2017
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