NPIMap

Organization Active NPI

Fort Smith Hma, LLC

Doing business as Sparks Regional Medical Center Rehab

  • Rehabilitation Hospital Unit
  • Fort Smith, AR
National Provider Identifier
1588849665
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
AR4421 Issued in AR
Legal business name
FORT SMITH HMA, LLC
Doing business as
Sparks Regional Medical Center Rehab
Practice address
1001 Towson Ave
Fort Smith, AR 72901-4921
Phone
(479) 441-5365
Fax
(479) 441-4729
NPI assigned
Jan 8, 2008
Last updated
Apr 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Mr. Timothy Parry, ESQ
Title
Sr. VP and General Counsel
Phone
(239) 598-3131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X AR4421 AR Primary
Rehabilitation Hospital 283X00000X

Addresses

Primary practice location

1001 Towson Ave
Fort Smith, AR 72901-4921

Mailing address

1001 Towson Ave
PO Box 17006
Fort Smith, AR 72901-4921

Other identifiers 5

IdentifierTypeStateIssuer
15294OtherARBCBS SNF
100698680AMedicaidOK
105690105MedicaidAR
10055OtherARBCBS ACUTE CARE
710236920729010000OtherTRICARE

Other names 1

  • Sparks Regional Medical Center Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1588849665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "address_2": "PO BOX 17006",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921",
            "telephone_number": "479-441-5365",
            "fax_number": "479-441-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH HMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SR. VP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "AR",
            "license": "AR4421",
            "primary": true
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SNF",
            "identifier": "15294",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100698680A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105690105",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACUTE CARE",
            "identifier": "10055",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "710236920729010000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparks Regional Medical Center Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2010; 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.