NPIMap

Organization Active NPI

Imwell Health

  • Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1336337336
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
E1930 Issued in AR
Legal business name
IMWELL HEALTH
Practice address
616 S 17TH St
Fort Smith, AR 72901-4700
Phone
(479) 434-3333
Fax
(479) 434-3535
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Dr. Catherine Womack, M.D.
Title
Chief Medical Officer
Phone
(479) 434-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X E1930 AR Primary

Addresses

Primary practice location

616 S 17TH St
Fort Smith, AR 72901-4700

Mailing address

616 S 17TH St
Fort Smith, AR 72901-4700
Phone (479) 434-3333

National Provider Directory

National Provider Directory
Tax ID family
Imwell Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1336337336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S 17TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014700",
            "telephone_number": "479-434-3333",
            "fax_number": "479-434-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S 17TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014700",
            "telephone_number": "479-434-3333",
            "fax_number": "479-434-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMWELL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "479-434-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "E1930",
            "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 Sep 15, 2014; 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.