Organization
OZARK MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FAUCHEUX (PRESIDENT)
(870) 257-4301
Entity
Organization
Contact information
Practice address
23 CHOCTAW TRACE, CHEROKEE VILLAGE, AR 72529-0000
(870) 257-4301
(870) 257-4317
Mailing address
23 CHOCTAW TRACE, CHEROKEE VILLAGE, AR 72529-0000
(870) 257-4301
(870) 257-4317
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
26579567001
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49879
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/26/2006
Last updated
04/16/2008
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