Fort Smith Surgical Supply Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FORT SMITH SURGICAL SUPPLY CO

Practice address

809 S Y St
Fort Smith, AR 72901-5917

Phone

(479) 783-8929

Fax

(479) 783-8920

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Debi Carroll

Title

Bookkeeper

Phone

(479) 783-8929

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104049022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 S Y ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015917",
            "telephone_number": "479-783-8929",
            "fax_number": "479-783-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S Y ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729015917",
            "telephone_number": "479-783-8929",
            "fax_number": "479-783-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH SURGICAL SUPPLY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DEBI",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "479-783-8929",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.