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STONE COUNTY MEDICAL SUPPLY NPI 1982768214


NPI Information

NPI: 1982768214
Provider Name: STONE COUNTY MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 04D0049984

Address:
125 WEST MAIN
MOUNTAIN VIEW, AR
ZIP 72560
Phone: (870) 269-2583
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STONE COUNTY MEDICAL SUPPLY is a durable medical equipment medical supplies in Mountain View, 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. STONE COUNTY MEDICAL SUPPLY NPI is 1982768214. The provider is registered as an organization entity type.

The provider's business location address is:

125 WEST MAIN
MOUNTAIN VIEW, AR
ZIP 72560-938
Phone: (870) 269-2583
Fax: (870) 269-5357

The provider's authorized official is Julius R Henderson .
The authorized official title is Manager and has the following contact phone number (870) 269-2583.

The CLIA number assigned to this NPI record is 04D0049984 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 8/22/2020.


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 SuppliesMG00284ARKANSASYes

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
149681OTHERARKANSASBLUE CROSS BLUE SHIELD

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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