Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Park Surgery Center of Fort Smith, Inc

Organization Ambulatory Surgical Clinic/Center · NPI 1598068306

Executive Park Surgery Center of Fort Smith, Inc is an Ambulatory Surgical Clinic/Center in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2010.

Licensed in
AR
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3314 S 70th St
Fort Smith, AR 72903-5052
Phone: (479) 424-2744
Fax: (479) 424-2745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence APPLIED FOR (AR)

Record details

NPI number1598068306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Rodriguez — President · (479) 424-2744
NPI enumeratedDecember 16, 2010
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address3314 S 70th St, Fort Smith, AR 72903-5052

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