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SUMMIT MEDICAL SUPPLY INC NPI 1326125063


NPI Information

NPI: 1326125063
Provider Name: SUMMIT MEDICAL SUPPLY INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
170 COMMERCE RD
SUITE 201
CONWAY, AR
ZIP 72032
Phone: (501) 327-5426
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SUMMIT MEDICAL SUPPLY INC is a durable medical equipment medical supplies in Conway, 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. SUMMIT MEDICAL SUPPLY INC NPI is 1326125063. The provider is registered as an organization entity type.

The provider's business location address is:

170 COMMERCE RD
SUITE 201
CONWAY, AR
ZIP 72032-112
Phone: (501) 327-5426
Fax: (501) 327-5881

The provider's authorized official is Bryan Henry .
The authorized official title is Owner and has the following contact phone number (501) 327-5426.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 8/13/2008.


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
1332B00000XDurable Medical Equipment & Medical SuppliesMG00806ARKANSASYes

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
149980OTHERARKANSASAR BLUE CROSS BLUE SHIELD
2DM1270MEDICAIDSOUTH CAROLINA
39061334MEDICAIDWASHINGTON
41034061MEDICAIDLOUISIANA
5626353304MEDICAIDMISSOURI
6240067000MEDICAIDMINNESOTA
7432970700MEDICAIDMASSACHUSETTS
8129219OTHERMINNESOTAHEALTH PARTNERS
95802460001MEDICARE 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: 11/14/2023

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