Organization
GOLDEN TRIANGLE SERVICES, INC
Active
Other names
HEALTHWARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ANDERS (CFO)
(870) 836-6055
Entity
Organization
Contact information
Practice address
685 CALIFORNIA AVE SW, CAMDEN, AR 71701-4637
(870) 836-6055
(870) 836-3621
Mailing address
PO BOX 797, CAMDEN, AR 71711-0797
(870) 836-6055
(870) 836-3621
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174730001
HUMANNA - DME STORE
AR
01
—
49521
BCBS - DME STORE
AR
Enumeration date
07/15/2006
Last updated
12/14/2007
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