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DQHHA EQUIPMENT & SUPPLY INC. NPI 1558398529


NPI Information

NPI: 1558398529
Provider Name: DQHHA EQUIPMENT & SUPPLY, INC.

Doing Business As: DBA DE QUEEN MEDICAL EQUIPMENT & SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 04D1098529

Address:
209 W. DE QUEEN AVENUE
DE QUEEN, AR
ZIP 71832
Phone: (870) 642-4555
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DQHHA EQUIPMENT & SUPPLY, INC. is a durable medical equipment medical supplies in De Queen, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DQHHA EQUIPMENT & SUPPLY, INC. NPI is 1558398529. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba De Queen Medical Equipment & Supply.

The provider's business location address is:

209 W. DE QUEEN AVENUE
DE QUEEN, AR
ZIP 71832-809
Phone: (870) 642-4555
Fax: (870) 642-8706

The provider's authorized official is Paula A. Smith .
The authorized official title is Administrator and has the following contact phone number (870) 642-4214.

The CLIA number assigned to this NPI record is 04D1098529 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 1/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesMG00142ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10550720001MEDICARE ID-TYPE UNSPECIFIED
2124484716MEDICAIDARKANSAS
349019OTHERARKANSASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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