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PRO-MED OF THE JONESBORO INC NPI 1912182445


NPI Information

NPI: 1912182445
Provider Name: PRO-MED OF THE JONESBORO, INC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
2379 HIGHWAY 62 412
SUITE L
HIGHLAND, AR
ZIP 72542
Phone: (870) 856-3300
Get Directions

PRO-MED OF THE JONESBORO, INC is an oxygen equipment and supplies durable medical equipment medical supplies in Highland, AR. PRO-MED OF THE JONESBORO, INC NPI is 1912182445. The provider is registered as an organization entity type.

The provider's business location address is:

2379 HIGHWAY 62 412
SUITE L
HIGHLAND, AR
ZIP 72542-393
Phone: (870) 856-3300

The provider's authorized official is Greg Brooks .
The authorized official title is Owner and has the following contact phone number (870) 931-0022.

The enumeration date for this NPI number is 1/3/2008 and was last updated on 12/10/2008.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & 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
1145632716MEDICAIDARKANSAS
20742190002MEDICARE NSCARKANSAS
348932OTHERARKANSASB/C B/S OF ARKANSAS

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: 11/14/2023

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