MEDICARE: PMC SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1083502595
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PMC SERVICES LLC

Provider Business Mailing Address
First Line	:	5808 CALLAWAY LN
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-8437
Country	:	US
Telephone Number	:	479-242-4455
Fax Number	:	479-242-6781

Provider Business Practice Location Address
First Line	:	8300 CHAD COLLEY BLVD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916
Country	:	US
Telephone Number	:	479-242-4455
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	DR. KALYAN C KALYAN
Credential	:	MD
Telephone Number	:	423-426-3918

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	12/08/2025

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