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BROOKS MEDICAL OF MOUNTAIN HOME INC NPI 1902224843


NPI Information

NPI: 1902224843
Provider Name: BROOKS MEDICAL OF MOUNTAIN HOME, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
860 HIGHWAY 62 E
SUITE 10
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 424-9808
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BROOKS MEDICAL OF MOUNTAIN HOME, INC is a durable medical equipment medical supplies in Mountain Home, 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. BROOKS MEDICAL OF MOUNTAIN HOME, INC NPI is 1902224843. The provider is registered as an organization entity type.

The provider's business location address is:

860 HIGHWAY 62 E
SUITE 10
MOUNTAIN HOME, AR
ZIP 72653-248
Phone: (870) 424-9808
Fax: (870) 424-9810

The provider's authorized official is Rhonda Flowers .
The authorized official title is President and has the following contact phone number (870) 424-9808.

The enumeration date for this NPI number is 3/28/2014 and was last updated on 3/28/2014.


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
16020830001MEDICARE NSC
2166731716MEDICAIDARKANSAS

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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