| Ft Smith Hma Pbc Management, Llc | |
|
5111 Rogers Ave Suite 40m Fort Smith AR 72903-2047 | |
| (479) 709-7440 | |
| (479) 709-7441 |
| Full Name | Ft Smith Hma Pbc Management, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5111 Rogers Ave, Fort Smith, Arkansas |
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ft Smith Hma Pbc Management, Llc 5811 Pelican Bay Blvd Suite 500 Naples FL 34108 Ph: (239) 598-3131 | Ft Smith Hma Pbc Management, Llc 5111 Rogers Ave Suite 40m Fort Smith AR 72903-2047 Ph: (479) 709-7440 |
| NPI Number | 1578854378 |
|---|---|
| Provider Enumeration Date | 04/27/2011 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578854378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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