Medsource Dme, Inc

LBN: Medsource Dme, Inc
Medsource Dme, Inc is an health care organization with primary practice located at 615 W Moultrie Dr , Blytheville AR 72315-1936. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Medsource Dme, Inc can be contacted via phone (870) 780-6111, or through Stevenson, James Ernest via phone (870) 780-6111.

Contact Information

Primary practice address
615 W Moultrie Dr Blytheville AR 72315-1936
Fax: (870) 762-0900
Website:
Authorized official contact:
Name: Stevenson, James Ernest

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 000614 Arkansas

Profile Details

NPI number 1881612794
LBN Legal business name Medsource Dme, Inc
DBA Doing business as
Authorized official Stevenson, James Ernest
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1881612794 NPPES
Arkansas Other 000614 AR BOARD OF PHARMACY

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