<Unavail>

LBN: Sam'S West, Inc.
<Unavail> is an health care organization with primary practice located at 1250 Sourth Amity Rd , Conway AR 72032. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sam'S West, Inc. can be contacted via phone (501) 205-7460, or through Levine, Laura via phone (479) 204-8550.

Contact Information

Primary practice address
1250 Sourth Amity Rd Conway AR 72032
Phone: (501) 205-7460
Fax: (501) 205-7459
Website:
Map and Directions
Authorized official contact:
Name: Levine, Laura
Phone: (479) 204-8550

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1922559343
LBN Legal business name Sam'S West, Inc.
DBA Doing business as <Unavail>
Authorized official Levine, Laura
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 20th, 2016
Last updated Aug 29th, 2023 - about 3 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 1922559343 NPPES
Arkansas MEDICAID 218595407

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