Organization
FORT SMITH HMA, LLC
Active
Other names
Sparks Regional Medical Center Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY PARRY ESQ (SR. VP AND GENERAL COUNSEL)
(239) 598-3131
Entity
Organization
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901-4921
(479) 441-5365
(479) 441-4729
Mailing address
1001 TOWSON AVE, PO BOX 17006, FORT SMITH, AR 72901-4921
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
AR4421
AR
283X00000X
Rehabilitation Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10055
BCBS ACUTE CARE
AR
05
—
100698680A
—
OK
05
—
105690105
—
AR
01
—
15294
BCBS SNF
AR
01
—
710236920729010000
TRICARE
—
Enumeration date
01/08/2008
Last updated
04/16/2010
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