Organization
BROOKS MEDICAL OF MOUNTAIN HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA FLOWERS (PRESIDENT)
(870) 424-9808
Entity
Organization
Contact information
Practice address
417 E 9TH ST, MOUNTAIN HOME, AR 72653-4709
(870) 424-9808
(870) 424-9810
Mailing address
417 E 9TH ST, MOUNTAIN HOME, AR 72653-4709
(870) 424-9808
(870) 424-9810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
31275703001
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166731716
—
AR
Enumeration date
10/09/2007
Last updated
09/10/2021
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