DIABETIC RESOURCES OF ARKANSAS LLC NPI 1558453894

NPI Information

  • NPI: 1558453894
  • Provider Name: DIABETIC RESOURCES OF ARKANSAS, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 911 E PARKER RD
    JONESBORO, AR
    ZIP 72404
  • Phone: (870) 935-6700

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NPI Details

DIABETIC RESOURCES OF ARKANSAS, LLC is a durable medical equipment medical supplies in Jonesboro, 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. DIABETIC RESOURCES OF ARKANSAS, LLC NPI is 1558453894. The provider is registered as an organization entity type.

The provider's business location address is:

911 E PARKER RD
JONESBORO, AR
ZIP 72404-370
Phone: (870) 935-6700
Fax: (870) 935-6700

The provider's authorized official is David Harrison White .
The authorized official title is Member/owner and has the following contact phone number (870) 935-6700.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 9/9/2009.

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 SuppliesMG00510ARKANSASYes

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
1149490716MEDICAIDARKANSAS
24690450001MEDICARE NSCARKANSAS
349853OTHERARKANSASBLUECROSSBLUESHIELD

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: 3/30/2025

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