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Contact Information

COOPER CLINIC, PA
7301 ROGERS AVE
FORT SMITH, AR72903-4100
 Phone: 479-274-6200
 Fax: 479-274-6299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for COOPER CLINIC, PA

NPI # 1316961782
LBN Legal business name COOPER CLINIC, PA
Authorized official CURTIS RALSTON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2006
Last updated 09/01/2015 - About 11 years ago
Identifiers
AR License # MC-0254
AR Medicaid 125236002
Other C50280 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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