NPIMap

Organization Active NPI

Area Agency on Aging of Western Arkansas, Inc

  • Transportation Broker
  • Fort Smith, AR
National Provider Identifier
1306350319
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
Practice address
524 Garrison Ave
Fort Smith, AR 72901-2507
Phone
(479) 783-4500
Fax
(855) 515-7414
NPI assigned
Nov 29, 2017
Last updated
Nov 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dana Callaway
Title
VP of Finance
Phone
(479) 424-2044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

524 Garrison Ave
Fort Smith, AR 72901-2507

Mailing address

PO Box 1724
Fort Smith, AR 72902-1724
Phone (479) 783-4500

National Provider Directory

National Provider Directory
Tax ID family
Hartford Medical Clinic23 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1306350319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1724",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729021724",
            "telephone_number": "479-783-4500",
            "fax_number": "855-515-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 GARRISON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729012507",
            "telephone_number": "479-783-4500",
            "fax_number": "855-515-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "479-424-2044"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 29, 2017; 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.