Women'S Pavilion

LBN: Dtr Medical, Inc
Women'S Pavilion is an health care organization with primary practice located at 122 S 1St St , Rogers AR 72756-4502. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Dtr Medical, Inc can be contacted via phone (479) 936-7050, or through Little, Jeff S via phone (479) 936-7050.

Contact Information

Primary practice address
122 S 1St St Rogers AR 72756-4502
Phone: (479) 936-7050
Fax: (479) 936-7080
Website:
Map and Directions
Authorized official contact:
Name: Little, Jeff S
Phone: (479) 936-7050

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1609872142
LBN Legal business name Dtr Medical, Inc
DBA Doing business as Women'S Pavilion
Authorized official Little, Jeff S
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2005
Last updated May 10th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609872142 NPPES
Arkansas MEDICAID 154549716

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