THE GREGORY KISTLER TREATMENT CENTER, INC. (NPI# 1437118015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437118015 |
| Entity Type | Organization |
| Organization Name | THE GREGORY KISTLER TREATMENT CENTER, INC. |
| Practice Address |
3304 S M St Fort Smith AR 72903-2903 |
| Practice Telephone | 4797854677 |
| Practice Fax Number | 4797854673 |
| Mailing Telephone | 4797854677 |
| Mailing Fax Number | 4797854673 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2012-08-13 |
| Authorized Official Name | MS. JENNIFER KISTLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4797854677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1000679370D | 05 | |
| AR | 115951742 | 05 | |
| AR | 117606716 | 05 | |
| AR | BCBS DME | 47953 | 01 |
| AR | BCBS TREATMENT | 5B311 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823200 | The Gregory Kistler Treatment Center, Inc. | Voluntary or Charitable | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-02-13 |
| 1356307615 | The Gregory Kistler Treatment Center, Inc. | Durable Medical Equipment & Medical Supplies | 3304 S M St, Fort Smith, AR 72903-2903 | 2006-04-25 |
| Street Address |
3304 S M ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455837 | Hannah Elisabeth Ellis | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-07-30 |
| 1639794662 | Naqing Zheng | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-06-16 |
| 1164044145 | Cassidy Lynn Hughes | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-05-12 |
| 1841823200 | The Gregory Kistler Treatment Center, Inc. | Voluntary or Charitable | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-02-13 |
| 1538727540 | Mallory Faith Walker | Physical Therapy Assistant | 3304 S M St, Fort Smith, AR 72903-2903 | 2019-06-04 |
| 1528548088 | Jessica April Pearce | Physical Therapy Assistant | 3304 S M St, Fort Smith, AR 72903-2903 | 2018-08-15 |
| 1073039335 | Jamie Gonnerman | Speech-Language Pathologist | 3304 S M St, Fort Smith, AR 72903-2903 | 2017-08-18 |
| 1376094003 | Meghann Fletcher | Occupational Therapist | 3304 S M St, Fort Smith, AR 72903-2903 | 2016-10-18 |
| 1568832350 | Denise Bauer | Occupational Therapist | 3304 S M St, Fort Smith, AR 72903-2903 | 2015-10-06 |
| 1306212006 | Amy Solik | Physical Therapy Assistant | 3304 S M St, Fort Smith, AR 72903-2903 | 2015-08-17 |
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|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225202179 | Fountain of Youth, Inc | Voluntary or Charitable | 2409 S 56th St, Suite 121, Fort Smith, AR 72903-3753 | 2008-04-22 |
| 1841823200 | The Gregory Kistler Treatment Center, Inc. | Voluntary or Charitable | 3304 S M St, Fort Smith, AR 72903-2903 | 2020-02-13 |
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| 1881922417 | Life Skills Center, Inc. | Voluntary or Charitable | 303 E Cherry Ave, Jonesboro, AR 72401-4170 | 2009-11-19 |
| 1437399557 | Situs Cancer Research Center | Voluntary or Charitable | 504 N 13th St, Rogers, AR 72756-3432 | 2009-03-02 |
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| City | FORT SMITH |
| Zip Code | 72903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.