Organization
TRIPP & TRIPP, INC.
Active
Other names
Russellville Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. MARK TRIPP (OWNER)
(479) 967-5790
Entity
Organization
Contact information
Practice address
3500 W MAIN ST, RUSSELLVILLE, AR 72801-2308
(479) 967-5790
(479) 967-0959
Mailing address
3500 W MAIN ST, RUSSELLVILLE, AR 72801-2308
(479) 967-5790
(479) 967-0959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00193
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125955716
—
AR
01
—
48973
BC/BS PROVIDER #
AR
Enumeration date
05/24/2005
Last updated
07/17/2024
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