Statewide Medical Supply, Inc

LBN: Statewide Medical Supply, Inc
Statewide Medical Supply, Inc is an health care organization with primary practice located at 6100 Getty Dr Ste U, North Little Rock AR 72117-1635. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Statewide Medical Supply, Inc can be contacted via phone (501) 834-1887, or through Hickman, Larry Mark via phone (501) 834-1887.

Contact Information

Primary practice address
6100 Getty Dr Ste U North Little Rock AR 72117-1635
Phone: (501) 834-1887
Fax: (501) 834-1866
Website:
Map and Directions
Authorized official contact:
Name: Hickman, Larry Mark
Phone: (501) 834-1887

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 10724 Arkansas

Profile Details

NPI number 1225210735
LBN Legal business name Statewide Medical Supply, Inc
DBA Doing business as
Authorized official Hickman, Larry Mark
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Jun 9th, 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 1225210735 NPPES
Arkansas MEDICAID 167086716

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