Organization
CALHOUNS ARKANSAS MEDICAL SUPPLY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZY BURSON (OWNER/PRESIDENT)
(870) 862-8841
Entity
Organization
Contact information
Practice address
201 WEST GROVE STREET, EL DORADO, AR 71730-4646
(870) 862-8841
(870) 864-0218
Mailing address
201 WEST GROVE STREET, EL DORADO, AR 71730-4646
(870) 862-8841
(870) 864-0218
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106116716
—
AR
01
—
48777
ARKANSAS BLUE CROSS BS
AR
Enumeration date
01/24/2006
Last updated
10/07/2022
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