The Gregory Kistler Treatment Center, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE GREGORY KISTLER TREATMENT CENTER, INC.

Practice address

3304 S M St
Fort Smith, AR 72903-2903

Phone

(479) 785-4677

NPI assigned

Apr 25, 2006

Last updated

Aug 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Kistler

Title

Executive Director

Phone

(479) 785-4677

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Gregory Kistler Treatment Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Gregory Kistler Treatment Center, Inc.

  • Voluntary or Charitable Agency
  • Fort Smith, AR
  • NPI 1437118015
  NPD tax ID
• The Gregory Kistler Treatment Center, Inc.

  • Voluntary or Charitable Agency
  • Fort Smith, AR
  • NPI 1841823200
  NPD tax ID

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1356307615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 S M ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 S M ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032903",
            "telephone_number": "479-785-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREGORY KISTLER TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "KISTLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-785-4677"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117606716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa T Thai, PLMSW
• Marina Outhai Thammathong, QBHP
• The Center for Pediatrics and Adolescent Medicine
• The Cutting Edge Senior Care and Sitting Servic
• The Dermatology Center PLLC
• The Gregory Kistler Treatment Center, Inc.
• The Gregory Kistler Treatment Center, Inc.
• The Guidance Center - Crisis Stabilization Unit
• The Guidance Center - Horizon Sats
• The Guidance Center - New Center

• Durable Medical Equipment & Medical Supplies in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.