The Gregory Kistler Treatment Center, Inc.

LBN: The Gregory Kistler Treatment Center, Inc.
The Gregory Kistler Treatment Center, Inc. is an health care organization with primary practice located at 3304 S M St , Fort Smith AR 72903-2903. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. The Gregory Kistler Treatment Center, Inc. can be contacted via phone (479) 785-4677, or through Kistler, Jennifer via phone (479) 785-4677.

Contact Information

Primary practice address
3304 S M St Fort Smith AR 72903-2903
Phone: (479) 785-4677
Fax: (479) 785-4673
Website:
Map and Directions
Authorized official contact:
Name: Kistler, Jennifer
Phone: (479) 785-4677

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1437118015
LBN Legal business name The Gregory Kistler Treatment Center, Inc.
DBA Doing business as
Authorized official Kistler, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2006
Last updated Aug 13th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437118015 NPPES
Oklahoma MEDICAID 1000679370D
Oklahoma Other 47953
Oklahoma MEDICAID 115951742
Oklahoma MEDICAID 117606716
Oklahoma Other 5B311

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