FORT SMITH DIALYSIS SUPPLY COMPANY (NPI# 1518962760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518962760 |
| Entity Type | Organization |
| Organization Name | FORT SMITH DIALYSIS SUPPLY COMPANY |
| Practice Address |
1506 Dodson Ave Fort Smith AR 72901-5128 |
| Practice Telephone | 4797096828 |
| Practice Fax Number | 4797097453 |
| Mailing Telephone | 4797096828 |
| Mailing Fax Number | 4797097453 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PAMELA SUE CLARK (DIRECTOR) |
| Authorized Official Telephone | 4797096828 |
| Authorized Official Credential | RN,CNN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers |
| Street Address |
1506 DODSON AVE |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052344 | Baptist Health Services | Orthopaedic Surgery | 1506 Dodson Ave, Fort Smith, AR 72901 | 2018-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 332BD1200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Dialysis Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114141165 | New Freedom Healthcare LLC | Durable Medical Equipment & Medical Supplies | 1306 Stone St, Jonesboro, AR 72401-4522 | 2007-04-12 |
| 1053614461 | Baybury Medical Inc | Durable Medical Equipment & Medical Supplies | 1051 Lantrip Rd, Sherwood, AR 72120-4161 | 2010-12-08 |
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on FORT SMITH DIALYSIS SUPPLY COMPANY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.