Organization
STONE COUNTY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIUS R HENDERSON (MANAGER)
(870) 269-2583
Entity
Organization
Contact information
Practice address
125 WEST MAIN, MOUNTAIN VIEW, AR 72560-1938
(870) 269-2583
(870) 269-5357
Mailing address
PO BOX 1938, MOUNTAIN VIEW, AR 72560-1938
(870) 269-2583
(870) 269-5357
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG00284
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49681
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/21/2006
Last updated
08/22/2020
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