Lifetime Medical Supply, Inc.

LBN: Lifetime Medical Supply, Inc.
Lifetime Medical Supply, Inc. is an health care organization with primary practice located at 623 A & B West State Highway 18 , Manila AR 72442. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Lifetime Medical Supply, Inc. can be contacted via phone (870) 561-5433, or through Crowell, Russell Anthony via phone (870) 561-5433.

Contact Information

Primary practice address
623 A & B West State Highway 18 Manila AR 72442
Phone: (870) 561-5433
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crowell, Russell Anthony
Phone: (870) 561-5433

Health care specialties

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

Profile Details

NPI number 1750397543
LBN Legal business name Lifetime Medical Supply, Inc.
DBA Doing business as
Authorized official Crowell, Russell Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 22nd, 2020 - about 6 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 1750397543 NPPES
Arkansas Other 49821 BLUECROSS/BLUESHIELD

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