Active NPI
Grace & Hope Medical Center PLLC
- Internal Medicine Physician
- Fort Smith, AR
National Provider Identifier
1205595378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GRACE & HOPE MEDICAL CENTER PLLC
- Practice address
- 5701 Euper LN Ste B
Fort Smith, AR 72903-3255 - Phone
- (479) 769-2519
- Fax
- (501) 510-5917
- NPI assigned
- Dec 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina Vargas, MD
- Title
- Owner
- Phone
- (479) 769-2519
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
5701 Euper LN Ste B
Fort Smith, AR 72903-3255
Mailing address
2916 Kells Abbey
Fort Smith, AR 72908-9317
Phone (479) 769-2519
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ginavargas@graceandhopeclinic.org | Direct |
National Provider Directory
National Provider DirectoryLocations
5701 Euper Ln
Ste B
Fort Smith, AR 72903
Phone (479) 434-2743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1205595378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 KELLS ABBEY",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729089317",
"telephone_number": "479-769-2519",
"fax_number": "501-510-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 EUPER LN STE B",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729033255",
"telephone_number": "479-769-2519",
"fax_number": "501-510-5917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE & HOPE MEDICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "VARGAS",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-769-2519",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ginavargas@graceandhopeclinic.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5701 Euper Ln Ste B",
"city": "Fort Smith",
"state": "AR",
"country_code": "US",
"postal_code": "729033255",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.