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ORTHOSOURCE INC. NPI 1578224218


NPI Information

NPI: 1578224218
Provider Name: ORTHOSOURCE, INC.

Doing Business As: KIMLOR MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1675 W JEFFERSON ST STE E
SILOAM SPRINGS, AR
ZIP 72761
Phone: (479) 373-2510
Get Directions

ORTHOSOURCE, INC. is a durable medical equipment medical supplies in Siloam Springs, 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. ORTHOSOURCE, INC. NPI is 1578224218. The provider is registered as an organization entity type.
The provider Is Doing Business As Kimlor Medical Supply.

The provider's business location address is:

1675 W JEFFERSON ST STE E
SILOAM SPRINGS, AR
ZIP 72761-001
Phone: (479) 373-2510
Fax: (479) 373-2509

The provider's authorized official is James Hal Dejarnatt .
The authorized official title is Owner and has the following contact phone number (479) 373-2510.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 4/15/2022.


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 SuppliesYes

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
1161293716MEDICAIDARKANSAS

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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