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Fountain of Youth, Inc

NPI 1225202179ActiveOrganization· Voluntary or Charitable· Fort Smith, AR

Voluntary or Charitable in Fort Smith, Arkansas, registered in NPPES in April 2008. The authorized official on file is Michelle Foutch, Site Director.

Overview

NPI1225202179
StatusActive
Entity typeOrganization
NPI issuedApr 22, 2008
Last updated in NPPESSep 5, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Voluntary or Charitable Primary251V00000X105AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Voluntary or Charitable providers in Fort Smith

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