Calhouns Arkansas Medical Supply Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CALHOUNS ARKANSAS MEDICAL SUPPLY COMPANY

Practice address

201 West Grove Street
El Dorado, AR 71730-4646

Phone

(870) 862-8841

Fax

(870) 864-0218

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Suzy Burson

Title

Owner/President

Phone

(870) 862-8841

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1104896018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WEST GROVE STREET",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304646",
            "telephone_number": "870-862-8841",
            "fax_number": "870-864-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WEST GROVE STREET",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304646",
            "telephone_number": "870-862-8841",
            "fax_number": "870-864-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUNS ARKANSAS MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "BURSON",
        "authorized_official_first_name": "SUZY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "870-862-8841",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106116716",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BS",
            "identifier": "48777",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matt Bussey, PHARMD
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• Shanna Callaway
• Alison L Cardin, PTA
• Rhonda Ann Cardin, P.T.
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• All providers in El Dorado, AR
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.