OrganizationActive
Executive Park Surgery Center of Fort Smith, Inc
NPI 1598068306 · Ambulatory Surgical Clinic/Center · Fort Smith, AR
Provider details
- NPI number
- 1598068306
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Rodriguez, President(479) 424-2744
- License
- APPLIED FOR (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3314 S 70th St
Fort Smith, AR 72903-5052
Phone: (479) 424-2744
Fax: (479) 424-2745
Approximate (ZIP-level) locationGet directions
Mailing address
3314 S 70th St
Fort Smith, AR 72903-5052
Registry dates
- Enumerated
- 2010-12-16
- Last updated
- 2024-01-04
- Certified
- 2024-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.