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Fort Smith Hma Home Health, LLC

Organization Active NPI Home Health Agency · Roland, OK

NPI 1710026299 · NPPES record last updated Nov 18, 2014

Key facts

NPI
1710026299
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
7115 (OK)
Legal business name
FORT SMITH HMA HOME HEALTH, LLC
Practice address
307B E Ray Fine Blvd
Roland, OK 74954-5160
Phone
(918) 427-9773
Fax
(918) 427-6021
NPI assigned
Feb 5, 2007
Organization subpart
No

Authorized official

Name
Ms. Laurie J Holtsford
Title
Authorized Official
Phone
61546574566

Corporate family (same tax ID) 29

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

View all 29

National Provider Directory

Tax ID family
Sparks Regional Medical Center (30 organizations share this tax ID)

Locations

4300 Rogers Ave
Ste 34
Fort Smith, AR 72903
Phone (479) 441-5850

307B E Ray Fine Blvd
Roland, OK 74954
Phone (918) 427-9773

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7115 OK Yes

Addresses

Primary practice location

307B E Ray Fine Blvd
Roland, OK 74954-5160

Mailing address

307B E Ray Fine Blvd
Roland, OK 74954-5160
Phone (918) 427-9773

Other identifiers

IdentifierTypeStateIssuer
100698680CMedicaidOK

Other names

  • Sparks Health System Home Health Doing business as

Other providers in Roland, OK

All providers in Roland, OK · Home Health Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.