Organization
C.B.F.M.C. INC
Active
Other names
NORTH CENTRAL IV & RESPIRATORY SPECIALISTS, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH RAY SAMPLE (DIRECTOR OF OPERATIONS)
(870) 932-0150
Entity
Organization
Contact information
Practice address
202 E WASHINGTON AVE, JONESBORO, AR 72401-3102
(870) 932-0150
(870) 932-0870
Mailing address
202 E WASHINGTON AVE, JONESBORO, AR 72401-3102
(870) 932-0150
(870) 932-0870
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190150733
—
AR
Enumeration date
06/06/2011
Last updated
02/01/2012
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