Organization
PIGGOTT COMMUNITY HOSPITAL
Active
Other names
HOMECARE MEDICAL EQUIPMENT & SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L MAGEE (EXECUTIVE DIRECTOR)
(870) 598-3881
Entity
Organization
Contact information
Practice address
210 E MAIN ST, PIGGOTT, AR 72454-2725
(870) 598-3881
(870) 598-5915
Mailing address
1206 GORDON DUCKWORTH DR, PIGGOTT, AR 72454-1911
(870) 598-3881
(870) 598-5915
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
9947
MO
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG00327
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113743716
—
AR
01
—
49399
BC/BS
AR
05
—
621359900
—
MO
Enumeration date
08/11/2006
Last updated
04/24/2023
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