| Fort Smith Hma Pbc Management, Llc | |
|
1001 Towson Ave Fort Smith AR 72901-4921 | |
| (479) 709-7399 | |
| (479) 709-7053 |
| Full Name | Fort Smith Hma Pbc Management, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 Towson Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | James P Wright (SENIOR DIRECTOR) |
| Authorized Official Contact | 6154657587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Smith Hma Pbc Management, Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 778-8000 | Fort Smith Hma Pbc Management, Llc 1001 Towson Ave Fort Smith AR 72901-4921 Ph: (479) 709-7399 |
| NPI Number | 1477888907 |
|---|---|
| Provider Enumeration Date | 10/16/2009 |
| Last Update Date | 01/27/2016 |
| Medicare PECOS PAC ID | 8224172127 |
|---|---|
| Medicare Enrollment ID | O20100308000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477888907 | NPI | - | NPPES |
| Provider Name | James T Henry |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912995713 PECOS PAC ID: 0345214615 Enrollment ID: I20040823000851 |
| Provider Name | Arturo E Meade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639166556 PECOS PAC ID: 1355319708 Enrollment ID: I20140228000160 |
| Provider Name | John Hence Harp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487720744 PECOS PAC ID: 8729186218 Enrollment ID: I20161118000814 |
| Provider Name | Charles Moussallem |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023318334 PECOS PAC ID: 3678716735 Enrollment ID: I20170425001446 |
| Provider Name | Patty K Pettway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376506881 PECOS PAC ID: 5294773883 Enrollment ID: I20180905002360 |
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