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Organization

ACTION MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHEILA DARLENE WALTERS R.N. (PRESIDENT)
(870) 483-6959
Entity
Organization

Contact information

Practice address
109 HIGHWAY 463 S, TRUMANN, AR 72472-2604
(870) 483-6959
(870) 483-7228
Mailing address
1400 HIGHWAY 69 BLVD, PO BOX 14, TRUMANN, AR 72472-2147
(870) 483-6959
(870) 483-7228

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
000607
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48992
BC/BS PROVIDER NUMBER
AR
Enumeration date
08/09/2006
Last updated
08/22/2020
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