Russellville Medical

LBN: Tripp & Tripp, Inc.
Russellville Medical is an health care organization with primary practice located at 3500 W Main St , Russellville AR 72801-2308. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Tripp & Tripp, Inc. can be contacted via phone (479) 967-5790, or through Tripp, R. Mark via phone (479) 967-5790.

Contact Information

Primary practice address
3500 W Main St Russellville AR 72801-2308
Phone: (479) 967-5790
Fax: (479) 967-0959
Website:
Map and Directions
Authorized official contact:
Name: Tripp, R. Mark
Phone: (479) 967-5790

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X MG00193 Arkansas

Profile Details

NPI number 1538162599
LBN Legal business name Tripp & Tripp, Inc.
DBA Doing business as Russellville Medical
Authorized official Tripp, R. Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Jul 17th, 2024 - about last year

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 1538162599 NPPES
Arkansas Other 48973 BC/BS PROVIDER #
Arkansas MEDICAID 125955716 BC/BS PROVIDER #

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