Scott Bodkin
Individual provider Active NPI Case Manager/Care Coordinator · Fort Smith, AR
NPI 1720705221 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1720705221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3111 S 70TH St
Fort Smith, AR 72903-5017 - Phone
- (479) 452-6650
- Fax
- (479) 785-9495
- NPI assigned
- Oct 25, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3111 S 70TH St
Fort Smith, AR 72903-5017
Mailing address
PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650
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- Cameron Fredrick Boboth
- Majusha Boddu
- Bodiford Eye Institute, PA
- Stacy Lynn Boggs
- Taylor Bogle
- Laura Boitel
- Bold Dental Fort Smith West
- Bold Dental Partners, PLLC Ft. Smith
All providers in Fort Smith, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.