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AREA AGENCY ON AGING OF NORTHWEST ARKANSAS NPI 1114980109


NPI Information

NPI: 1114980109
Provider Name: AREA AGENCY ON AGING OF NORTHWEST ARKANSAS
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1510 ROCK SPRINGS RD
HARRISON, AR
ZIP 72601
Phone: (870) 741-1144
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AREA AGENCY ON AGING OF NORTHWEST ARKANSAS is a durable medical equipment medical supplies in Harrison, 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. AREA AGENCY ON AGING OF NORTHWEST ARKANSAS NPI is 1114980109. The provider is registered as an organization entity type.

The provider's business location address is:

1510 ROCK SPRINGS RD
HARRISON, AR
ZIP 72601-804
Phone: (870) 741-1144
Fax: (870) 741-1153

The provider's authorized official is Brad Bailey .
The authorized official title is Executive Director and has the following contact phone number (870) 741-1144.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 3/30/2020.


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
1253Z00000XIn Home Supportive CareNo
2332B00000XDurable Medical Equipment & Medical SuppliesMG00523ARKANSASYes

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
1149256716MEDICAIDARKANSAS

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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