Provider Demographics
NPI:1588728919
Name:SMITH FS, INC
Entity type:Organization
Organization Name:SMITH FS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-223-3383
Mailing Address - Street 1:301 S BOWMAN RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3431
Mailing Address - Country:US
Mailing Address - Phone:501-223-3383
Mailing Address - Fax:
Practice Address - Street 1:301 S BOWMAN RD
Practice Address - Street 2:SUITE 240
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3431
Practice Address - Country:US
Practice Address - Phone:501-223-3383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5716120001Medicare NSC