Organization
MEDICAL NECESSITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE E SIMPSON (OWNER)
(870) 935-4825
Entity
Organization
Contact information
Practice address
2000 E MATTHEWS AVE, JONESBORO, AR 72401-4348
(870) 935-4825
(870) 935-5744
Mailing address
2000 E MATTHEWS AVE, JONESBORO, AR 72401-4348
(870) 935-4825
(870) 935-5744
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49717
AR BCBS PROTHETICS/ORTHOT
AR
Enumeration date
07/31/2007
Last updated
07/31/2007
Update your record
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