FOUNTAIN OF YOUTH, INC
NPI 1225202179
Voluntary or Charitable in Fort Smith, AR
- Organization
- Voluntary or Charitable
About FOUNTAIN OF YOUTH, INC
This page provides the complete NPI Profile along with additional information for Fountain Of Youth, Inc, a provider established in Fort Smith, Arkansas operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1225202179 assigned on April 2008. The practitioner's primary taxonomy code is 251V00000X with license number 105 (AR). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Michelle Foutch (Site Director)
- NPI
- 1225202179 Verify this NPI
- Provider Name
- FOUNTAIN OF YOUTH, INC
- Entity Type
- Organization
- Location Address
- 2409 S 56TH ST SUITE 121 FORT SMITH, AR 72903
- Location Phone
- (479) 484-7782
- Location Fax
- (479) 484-7951
- Mailing Address
- 2409 S 56TH ST SUITE 121 FORT SMITH, AR 72903
- Mailing Phone
- (479) 484-7782
- Mailing Fax
- (479) 484-7951
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-22-2008
- Last Update Date
- 09-05-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Voluntary or Charitable
- Taxonomy Code
- 251V00000X
- Type
- Agencies
- License No.
- 105
- License State
- AR
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 165464755 | MEDICAID (05) | AR |
Reviews for FOUNTAIN OF YOUTH, INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225202179, enumerated as an "organization" on April 22, 2008.
The provider is located at 2409 S 56TH ST SUITE 121 FORT SMITH, AR 72903 and the phone number is (479) 484-7782.
Voluntary or Charitable with taxonomy code 251V00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
