Active Living Medical Supply

LBN: Active Living Medical Supply
Active Living Medical Supply is an health care organization with primary practice located at 11324 Arcade Dr Suite 24, Little Rock AR 72212-4074. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Active Living Medical Supply can be contacted via phone (501) 379-9217, or through Barnes, Bill via phone (501) 379-9217.

Contact Information

Primary practice address
11324 Arcade Dr Suite 24 Little Rock AR 72212-4074
Phone: (501) 379-9217
Fax: (501) 379-9218
Website:
Map and Directions
Authorized official contact:
Name: Barnes, Bill Physical Therapist Assistant (PTA)
Phone: (501) 379-9217

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X 800124349 Arkansas

Profile Details

NPI number 1780860643
LBN Legal business name Active Living Medical Supply
DBA Doing business as
Authorized official Barnes, Bill Physical Therapist Assistant (PTA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2008
Last updated Jun 5th, 2008 - about 18 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 1780860643 NPPES
Arkansas MEDICAID 167682716

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