BRENDA D POLSTON NPI 1285683250

NPI Information

  • NPI: 1285683250
  • Provider Name: BRENDA D POLSTON
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: THAT CERTAIN LOOK
  • Address: 300 VAN BUREN
    JUDSONIA, AR
    ZIP 72081
  • Phone: (501) 729-5490

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NPI Details

BRENDA D POLSTON is a durable medical equipment medical supplies in Judsonia, 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. BRENDA D POLSTON NPI is 1285683250. The provider is registered as an organization entity type.
The provider Is Doing Business As That Certain Look.

The provider's business location address is:

300 VAN BUREN
JUDSONIA, AR
ZIP 72081-297
Phone: (501) 729-5490
Fax: (501) 729-1511

The provider's authorized official is Brenda D Polston .
The authorized official title is Owner and has the following contact phone number (501) 729-5490.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 7/10/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
149701OTHERARKANSASBLUE CROSS BLUE SHIELD
2=========40OTHERARKANSASQUALCHOICE
300440777MEDICAIDMISSISSIPPI
4141085716MEDICAIDARKANSAS
53942740001MEDICARE NSCARKANSAS

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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