Organization
ARKANSAS OSTOMY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JANE ENGLISH (GENERAL MANAGER)
(501) 868-7840
Entity
Organization
Contact information
Practice address
16607 CANTRELL RD STE 7, LITTLE ROCK, AR 72223-4247
(501) 225-8860
(501) 225-8840
Mailing address
16607 CANTRELL RD STE 7, LITTLE ROCK, AR 72223-4247
(501) 225-8860
(501) 225-8840
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
7203
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111614716
—
AR
01
—
48877
BCBS
AR
Enumeration date
03/20/2006
Last updated
06/24/2020
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