Healthcare Provider Details
I. General information
NPI: 1639142342
Provider Name (Legal Business Name): ENCOMPASS HEALTH REHABILITATION HOSPITAL OF FORT SMITH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2006
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1401 S J ST
FORT SMITH AR
72901-5158
US
IV. Provider business mailing address
9001 LIBERTY PKWY
BIRMINGHAM AL
35242-7509
US
V. Phone/Fax
- Phone: 479-785-3300
- Fax: 479-785-8599
- Phone: 205-967-7116
- Fax: 205-969-6650
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 283X00000X |
| Taxonomy | Rehabilitation Hospital |
| License Number | 2936 |
| License Number State | AR |
VIII. Authorized Official
Name:
CAREY
MCRAE
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 205-970-3442