Healthcare Provider Details

I. General information

NPI: 1780955872
Provider Name (Legal Business Name): BPST INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2012
Last Update Date: 01/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 S ZERO ST
FORT SMITH AR
72903-6644
US

IV. Provider business mailing address

7701 S ZERO ST PO BOX 11495
FORT SMITH AR
72903-6644
US

V. Phone/Fax

Practice location:
  • Phone: 479-478-5695
  • Fax: 479-478-5670
Mailing address:
  • Phone: 479-478-5695
  • Fax: 479-478-5670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR33106
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberR33106
License Number StateAR

VIII. Authorized Official

Name: MRS. ROBIN PERKINS
Title or Position: BILLING MANAGER
Credential:
Phone: 479-478-5610