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MIDSTATE MED-CARE INC. NPI 1376558023


NPI Information

NPI: 1376558023
Provider Name: MIDSTATE MED-CARE, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
800 EXCHANGE AVE
SUITE 104
CONWAY, AR
ZIP 72032
Phone: (501) 932-3180
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MIDSTATE MED-CARE, 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. MIDSTATE MED-CARE, INC. NPI is 1376558023. The provider is registered as an organization entity type.

The provider's business location address is:

800 EXCHANGE AVE
SUITE 104
CONWAY, AR
ZIP 72032-833
Phone: (501) 932-3180
Fax: (501) 932-0261

The provider's authorized official is James David Hicks .
The authorized official title is General Mgr and has the following contact phone number (501) 932-0033.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 4/13/2012.


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
1332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility Supplies124637716ARKANSASNo
2332B00000XDurable Medical Equipment & Medical Supplies124637716ARKANSASYes

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
10322990001MEDICARE NSCARKANSAS
2124637716MEDICAIDARKANSAS

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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