NPI 1023267218 · live from the CMS NPI Registry
Hospice Peachtree, LLC
Family Medicine, Hospice and Palliative Medicine in Fort Smith, AR. National Provider Identifier 1023267218, active.
NPI record
| NPI | 1023267218 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 2910 Jenny Lind Rd, #4, Fort Smith, AR 72901 |
| Practice phone | 479-494-0100 |
| Enumerated | September 12, 2008 |
| Last updated | March 25, 2013 |
| Authorized official | Jim Petrus, Chief Executive Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | AR 4137 (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.