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Contact Information

FT SMITH HMA PHYSICIAN MANAGEMENT, LLC
1501 S WALDRON RD
SUITE 100
FORT SMITH, AR72903-2574
 Phone: 479-709-7337
 Fax: 479-709-7461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FT SMITH HMA PHYSICIAN MANAGEMENT, LLC

NPI # 1114218542
LBN Legal business name FT SMITH HMA PHYSICIAN MANAGEMENT, LLC
Authorized official MICHAEL GINGRAS - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/19/2011
Last updated 11/27/2012 - About 14 years ago
Identifiers n/a
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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