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SPRINGDALE FOOT SPECIALIST PA NPI 1871751198


NPI Information

NPI: 1871751198
Provider Name: SPRINGDALE FOOT SPECIALIST PA
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1213 S THOMPSON ST
SPRINGDALE, AR
ZIP 72764
Phone: (479) 751-3656
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SPRINGDALE FOOT SPECIALIST PA is a durable medical equipment medical supplies in Springdale, 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. SPRINGDALE FOOT SPECIALIST PA NPI is 1871751198. The provider is registered as an organization entity type.

The provider's business location address is:

1213 S THOMPSON ST
SPRINGDALE, AR
ZIP 72764-313
Phone: (479) 751-3656
Fax: (479) 750-2221

The provider's authorized official is Ronald R Pinkerton .
The authorized official title is President and has the following contact phone number (479) 751-3656.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 6/6/2008.


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 Supplies69ARKANSASNo
2332B00000XDurable Medical Equipment & Medical Supplies121OKLAHOMAYes

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
1442460675OTHEROKLAHOMAMEDICARE - OK
20912890001MEDICARE NSC
3200052700AMEDICAIDOKLAHOMA
4T20366MEDICARE UPINARKANSAS
5T20366MEDICARE UPIN
6106361717MEDICAIDARKANSAS
756364OTHERARKANSASPTAN
8480032388OTHERARKANSASMCRR

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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