Organization
HOME MEDICAL, INC
Active
Other names
Home Medical Inc., Children's Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELLEN L LINDSEY N/A (INSURANCE SUPERVISOR)
(870) 534-4944
Entity
Organization
Contact information
Practice address
3511 SE J ST STE 3, BENTONVILLE, AR 72712-5489
(479) 464-5987
(479) 464-5980
Mailing address
7197 SHERIDAN RD STE 110, WHITE HALL, AR 71602-3261
(870) 534-4944
(870) 534-9199
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
033202
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1022
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158764716
—
AR
05
—
159100737
—
AR
Enumeration date
04/08/2007
Last updated
12/30/2020
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