| Premise Health - Ok Foods | |
|
4105 Newlon Rd Fort Smith AR 72904-2126 | |
| (479) 974-1270 | |
| (479) 494-6364 |
| Full Name | Premise Health - Ok Foods |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4105 Newlon Rd, Fort Smith, Arkansas |
| Authorized Official Name and Position | Peter J Vasquez (PRESIDENT) |
| Authorized Official Contact | 8444077557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health - Ok Foods 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health - Ok Foods 4105 Newlon Rd Fort Smith AR 72904-2126 Ph: (479) 974-1270 |
| NPI Number | 1689154189 |
|---|---|
| Provider Enumeration Date | 08/15/2018 |
| Last Update Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689154189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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