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COOPER CLINIC, PA
NPI 1366464075
Clinic/Center in Fort Smith, AR

Active since July 24, 2006
9616 ROGERS AVE, FORT SMITH, AR 72903(479) 274-2000(479) 274-2194 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cooper Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOPER CLINIC, PA (NPI 1366464075) is a healthcare organization registered as a clinic/center in Fort Smith, Arkansas and active in the NPI registry since July 2006. The organization lists Curtis Ralston, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366464075
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOOPER CLINIC, PA
Location Address9616 ROGERS AVEFort Smith, AR 72903-5769
Mailing AddressPo Box 3528Fort Smith, AR 72913-3528 · (479) 274-2000 · Fax (479) 274-2194
Phone(479) 274-2000
Fax(479) 274-2194
Organization SubpartNo
Authorized OfficialCurtis RalstonCeo · (479) 274-2000
Enumeration DateJuly 24, 2006
Last NPPES UpdateOctober 20, 2015
✔ NPI 1366464075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AR · MC-0254
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9616 ROGERS AVE, Fort Smith, AR 72903
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Other Identifiers 1

Medicare NSC0384730020AR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY S EDWARDS DO
Family Medicine
9616 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 242-8218
TIMOTHY Y. MARYANOV M.D.
Neurological Surgery
9616 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 242-3310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cooper Clinic, PA's NPI number?

The NPI number for Cooper Clinic, PA is 1366464075. It was assigned to this organization in the NPPES registry on July 24, 2006.

Where is Cooper Clinic, PA located?

Cooper Clinic, PA is located at 9616 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 274-2000.

What is Cooper Clinic, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Cooper Clinic, PA was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.