Organization Name: | NORTHWEST ARKANSAS RADIATION THERAPY INSTITUTE |
NPI Number: | 1033191622 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERRY L ANDERSON (VP OF FINANCE) |
Mailing Address: | 5835 W Sunset Ave Springdale |
State: | AR US |
Postal Code: | 727620751 |
Phone Number: | 4793612585 |
Fax Number: | 4793616201 |
NPI Enumeration Date: | 11/18/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QX0203X |
License Number: | ARK-761-BP-09-05 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Oncology, Radiation |
Taxonomy Definition: |