Organization Active NPI

Golden Triangle Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Camden, AR
National Provider Identifier
1235155698
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GOLDEN TRIANGLE SERVICES, INC
Practice address
685 California Ave SW
Camden, AR 71701-4637
Phone
(870) 836-6055
Fax
(870) 836-3621
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Mr. Robert Anders
Title
Cfo
Phone
(870) 836-6055

Specialties & licenses 1

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

Addresses

Primary practice location

685 California Ave SW
Camden, AR 71701-4637

Mailing address

PO Box 797
Camden, AR 71711-0797
Phone (870) 836-6055

Other identifiers 2

IdentifierTypeStateIssuer
1174730001OtherARHUMANNA - DME STORE
49521OtherARBCBS - DME STORE

Other names 1

  • HEALTHWARE Doing business as

National Provider Directory

National Provider Directory

Locations

685 California Ave SW
Camden, AR 71701
Phone (870) 836-6055

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1235155698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717110797",
            "telephone_number": "870-836-6055",
            "fax_number": "870-836-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CALIFORNIA AVE SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014637",
            "telephone_number": "870-836-6055",
            "fax_number": "870-836-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-836-6055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANNA - DME STORE",
            "identifier": "1174730001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - DME STORE",
            "identifier": "49521",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHWARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.