PROFESSIONAL DRIVERS MEDICAL DEPOTS NPI 1205038585

NPI Information

  • NPI: 1205038585
  • Provider Name: PROFESSIONAL DRIVERS MEDICAL DEPOTS
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 3902 PETRO ROAD
    I-40, EXIT 280
    WEST MEMPHIS, AR
    ZIP 72301
  • Phone: (615) 661-8929

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NPI Details

PROFESSIONAL DRIVERS MEDICAL DEPOTS is a clinic center in West Memphis, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PROFESSIONAL DRIVERS MEDICAL DEPOTS NPI is 1205038585. The provider is registered as an organization entity type.

The provider's business location address is:

3902 PETRO ROAD
I-40, EXIT 280
WEST MEMPHIS, AR
ZIP 72301
Phone: (615) 661-8929
Fax: (615) 661-8977

The provider's authorized official is Colleen Adams .
The authorized official title is Billing Manager and has the following contact phone number (615) 661-8929.

The enumeration date for this NPI number is 5/31/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterARKANSASYes

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: 11/21/2025

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