Organization
BROOKS MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE L BROOKS (VP)
(870) 932-4597
Entity
Organization
Contact information
Practice address
501 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2912
(870) 424-9808
Mailing address
501 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2912
(870) 424-9808
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48452
ARKANSAS BC BS
AR
Enumeration date
03/27/2007
Last updated
08/22/2020
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