Midstate Med-Care, Inc.

LBN: Midstate Med-Care, Inc.
Midstate Med-Care, Inc. is an health care organization with primary practice located at 800 Exchange Ave Suite 104, Conway AR 72032-7833. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Midstate Med-Care, Inc. can be contacted via phone (501) 932-3180, or through Hicks, James David via phone (501) 932-0033.

Contact Information

Primary practice address
800 Exchange Ave Suite 104 Conway AR 72032-7833
Fax: (501) 932-0261
Website:
Authorized official contact:
Name: Hicks, James David

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 124637716 Arkansas
Suppliers / Nursing Facility Supplies 332BN1400X 124637716 Arkansas

Profile Details

NPI number 1376558023
LBN Legal business name Midstate Med-Care, Inc.
DBA Doing business as
Authorized official Hicks, James David
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 13th, 2012 - about 13 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 1376558023 NPPES
Arkansas MEDICAID 124637716

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