Fort Smith Children'S Emergency Shelter, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FORT SMITH CHILDREN'S EMERGENCY SHELTER, INC.

Practice address

3015 S 14TH St
Fort Smith, AR 72901-6317

Phone

(479) 783-0018

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Jack Moffett

Title

Executive Director

Phone

(479) 783-0018

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1780162792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 S 14TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016317",
            "telephone_number": "479-783-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 S 14TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016317",
            "telephone_number": "479-783-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH CHILDREN'S EMERGENCY SHELTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-783-0018"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Health Partners PLLC
• Fort Neuro
• Fort Smith Ambulatory Surgery Center, LLC
• Fort Smith Behavioral Health Inc
• Fort Smith Cataract & Laser Center LLC
• Fort Smith Dialysis Supply Company
• Fort Smith Emergency Hospital, LLC
• Fort Smith Emergency Medical Services
• Fort Smith Emergency Medical Services
• Fort Smith Ep, PLLC

• Community/Behavioral Health Agency in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.