The Gregory Kistler Treatment Center, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE GREGORY KISTLER TREATMENT CENTER, INC.

Practice address

3304 S M St
Fort Smith, AR 72903-2903

Phone

(479) 785-4677

Fax

(479) 785-4673

NPI assigned

Feb 13, 2020

Last updated

Mar 4, 2020By 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 3

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.

  • Durable Medical Equipment & Medical Supplies
  • Fort Smith, AR
  • NPI 1356307615
  NPD tax ID
• The Gregory Kistler Treatment Center, Inc.

  • Voluntary or Charitable Agency
  • Fort Smith, AR
  • NPI 1437118015
  NPD tax ID

Locations

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1841823200",
    "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",
            "telephone_number": "479-785-4677",
            "fax_number": "479-785-4673"
        },
        {
            "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",
            "fax_number": "479-785-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREGORY KISTLER TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "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": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188780782",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188778767",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188779771",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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
• The Guidance Center - the Rock House
• The Guidance Center - Whole Health (The Guidance Center Primary Care)

• Voluntary or Charitable Agency in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Voluntary or Charitable Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.