Organization
DQHHA EQUIPMENT & SUPPLY, INC.
Active
Other names
DBA De Queen Medical Equipment & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA A. SMITH (ADMINISTRATOR)
(870) 642-4214
Entity
Organization
Contact information
Practice address
209 W. DE QUEEN AVENUE, DE QUEEN, AR 71832-2809
(870) 642-4555
(870) 642-8706
Mailing address
209 W. DE QUEEN AVENUE, DE QUEEN, AR 71832-2809
(870) 642-4555
(870) 642-8706
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00142
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124484716
—
AR
01
—
49019
BCBS
AR
Enumeration date
06/27/2006
Last updated
01/11/2012
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