Brooks Medical Supply, Inc.

Organization Active NPI Durable Medical Equipment & Medical Supplies · Mountain Home, AR

NPI 1215055181 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1215055181
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
BROOKS MEDICAL SUPPLY, INC.
Practice address
501 Hospital Dr
Mountain Home, AR 72653-2912
Phone
(870) 424-9808
NPI assigned
Mar 27, 2007
Organization subpart
No

Authorized official

Name
Mike L Brooks
Title
VP
Phone
(870) 932-4597

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Brooks Medical of MTN Home (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

501 Hospital Dr
Mountain Home, AR 72653-2912

Mailing address

501 Hospital Dr
Mountain Home, AR 72653-2912
Phone (870) 424-9808

Other identifiers

IdentifierTypeStateIssuer
48452OtherARARKANSAS BC BS

Other providers in Mountain Home, AR

All providers in Mountain Home, AR · Durable Medical Equipment & Medical Supplies in Arkansas

Sources for this page

Verify at the official NPI Registry.