Organization
MEDIC RENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MCNABB (PRESIDENT)
(501) 428-0074
Entity
Organization
Contact information
Practice address
12315 CHENAL PKWY STE C, LITTLE ROCK, AR 72211-2764
(501) 664-6768
(501) 664-0074
Mailing address
2821 KAVANAUGH BLVD STE 3A, LITTLE ROCK, AR 72205-3868
(501) 664-6768
(501) 664-6817
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104330716
—
AR
01
—
48157
BCBS
AR
Enumeration date
08/20/2006
Last updated
11/08/2024
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