Organization
FORT SMITH MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA DEANN BEINEMAN APN RNP (OWNER)
(479) 434-3131
Entity
Organization
Contact information
Practice address
3811 ROGERS AVE, SUITE A, FORT SMITH, AR 72903-3045
(479) 434-3131
(479) 434-3135
Mailing address
PO BOX 11316, FORT SMITH, AR 72917-1316
(479) 434-3131
(479) 434-3135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01596
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141581758
—
AR
Enumeration date
07/11/2011
Last updated
09/02/2011
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