Organization Active NPI

Arkansas Heart Center, PLC

  • Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1912908492
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MC1808 Issued in AR
Legal business name
ARKANSAS HEART CENTER, PLC
Practice address
4200 Jenny Lind Rd
Suite a
Fort Smith, AR 72901-7660
Phone
(479) 484-1010
Fax
(479) 785-9916
NPI assigned
Aug 9, 2005
Last updated
Nov 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Cynthia A Ward
Title
Practice Manager
Phone
(479) 484-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MC1808 AR Primary

Addresses

Primary practice location

4200 Jenny Lind Rd
Suite a
Fort Smith, AR 72901-7660

Mailing address

PO Box 11768
Fort Smith, AR 72917-1768
Phone (479) 484-1010

Other identifiers 1

IdentifierTypeStateIssuer
134133002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309001407 AR Part B Supplier - Clinic/Group Practice 4082502174 Receives reassigned benefits from 10 practitioners
Practice locations: Fort Smith, AR
O20040930000009 OK Part B Supplier - Clinic/Group Practice 4082502174 Receives reassigned benefits from 2 practitioners
Practice locations: Sallisaw, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1030818Arkansas Heart Center4200 Jenny Lind Road, Ste a, Fort Smith, AR 72901Certificate of waiverSep 16, 2026

National Provider Directory

National Provider Directory

Locations

4200 Jenny Lind Rd
Ste A
Fort Smith, AR 72901
Phone (479) 484-1010

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1912908492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11768",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171768",
            "telephone_number": "479-484-1010",
            "fax_number": "479-785-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 JENNY LIND RD",
            "address_2": "SUITE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017660",
            "telephone_number": "479-484-1010",
            "fax_number": "479-785-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS HEART CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "479-484-1010"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "MC1808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134133002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.