Organization
NORTH CENTRAL IV & RESPIRATORY SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY DARR BA (COO)
(870) 932-0150
Entity
Organization
Contact information
Practice address
202 E WASHINGTON AVE, JONESBORO, AR 72401-3102
(870) 932-0150
(870) 932-0150
Mailing address
202 E WASHINGTON AVE, JONESBORO, AR 72401-3102
(870) 932-0150
(870) 932-0150
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
AR20370
AR
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
AR20511
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152028716
—
AR
01
—
49868
BCBS DME PROVIDER NUMBER
AR
Enumeration date
02/22/2007
Last updated
01/10/2011
Update your record
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