Health Tech Affiliates, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

MG00189 Issued in AR

Legal business name

HEALTH TECH AFFILIATES, INC.

Practice address

900 N Washington St
Forrest City, AR 72335-2856

Phone

(870) 633-5176

Fax

(870) 630-0530

NPI assigned

Jun 20, 2006

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

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

Authorized official

Name

Mr. Gregory M. Duckett

Title

Sr VP/ Clo

Phone

(901) 227-4137

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Technology Doing business as

Tax ID family

Baptist Mail Order Pharmacy2 organizations share this tax ID, including this one

Part of

Baptist Memorial Health Care Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Health Tech Affiliates, Inc.

  • Mail Order Pharmacy
  • Memphis, TN
  • NPI 1366957623
  NPD tax ID

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1144265299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "870-633-5176",
            "fax_number": "870-630-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352856",
            "telephone_number": "870-633-5176",
            "fax_number": "870-630-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH TECH AFFILIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SR VP/ CLO",
        "authorized_official_telephone_number": "901-227-4137",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG00189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134188716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Technology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Technology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Daphina Heard, MHPP
• Karen Anita Hendrick
• Domonique Hendrix
• Henein Iskander, M.D.
• Dawn Herring, THERAPIST

• Durable Medical Equipment & Medical Supplies in Forrest City, AR
• Providers in Forrest City, 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 Oct 5, 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.