Provider Demographics
NPI:1033191622
Name:NORTHWEST ARKANSAS RADIATION THERAPY INSTITUTE
Entity Type:Organization
Organization Name:NORTHWEST ARKANSAS RADIATION THERAPY INSTITUTE
Other - Org Name:NARTI
Other - Org Type:Other Name
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-361-2585
Mailing Address - Street 1:5835 W SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0751
Mailing Address - Country:US
Mailing Address - Phone:479-361-2585
Mailing Address - Fax:479-361-6201
Practice Address - Street 1:5835 W SUNSET AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-0751
Practice Address - Country:US
Practice Address - Phone:479-361-2585
Practice Address - Fax:479-361-6201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARARK-761-BP-09-05261QX0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR457169OtherHEALTHLINK
AR57213OtherARKANSAS BC/BS
AR457169OtherHEALTHLINK