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NPI Code Detail

MEDICARE: VETERANS HEALTH CARE SYSTEM OF THE OZARKS

MEDICARE: VETERANS HEALTH CARE SYSTEM OF THE OZARKS
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
1282N00000XGeneral Acute Care Hospital
2363LP2300XPrimary Care Nurse Practitioner

General Provider Information

NPI Number : 1912785973
Entity Type Code : Organization
Provider Name (Legal Business Name) : VETERANS HEALTH CARE SYSTEM OF THE OZARKS
Provider Business Mailing Address
First Line : 5700 PHOENIX PL
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5782
Country : US
Telephone Number : 479-441-2600
Fax Number :
Provider Business Practice Location Address
First Line : 5700 PHOENIX PL
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5782
Country : US
Telephone Number : 479-441-2600
Fax Number :
Authorized Official
Title or Position : PRIMARY CARE SERVICE CHIEF
Name : DR. RAGINI SHARMA
Credential : MD
Telephone Number : 479-441-2600
Provider Enumeration Date : 09/20/2023
Last Update Date : 09/28/2023

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Directions to “VETERANS HEALTH CARE SYSTEM OF THE OZARKS ” Practice Location

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