Organization Active NPI

Grace & Hope Medical Center PLLC

  • Internal Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1205595378
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Dec 15, 2021

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
Direct Messaging Address ginavargas@graceandhopeclinic.org Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.