NPIMap

Organization Active NPI

Dqhha Equipment & Supply, Inc.

Doing business as Durable Medical Equipment & Supply

  • Durable Medical Equipment & Medical Supplies
  • Mena, AR
National Provider Identifier
1245628759
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DQHHA EQUIPMENT & SUPPLY, INC.
Doing business as
Durable Medical Equipment & Supply
Practice address
513 Mena St
Mena, AR 71953-3337
Phone
(870) 642-4555
Fax
(870) 642-8706
NPI assigned
Jan 6, 2015
Last updated
Jan 6, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DQHHA EQUIPMENT & SUPPLY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Authorized official

Name
Paula A Smith
Title
President/Administrator
Phone
(870) 642-4555

Specialties & licenses 1

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

Addresses

Primary practice location

513 Mena St
Mena, AR 71953-3337

Mailing address

209 W Dequeen Ave
De Queen, AR 71832-2809
Phone (870) 584-3302

Other names 1

  • Durable Medical Equipment & Supply Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150701000846 AR DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 1951429729 Practice locations: Mena, AR

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dqhha Equipment Supply Inc3 organizations share this tax ID, including this one
Part of
Dqhha Equipment Supply Inc

Other organizations with this tax ID 2

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

Locations

209 W Dequeen Ave
De Queen, AR 71832
Phone (870) 642-4555

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1245628759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W DEQUEEN AVE",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322809",
            "telephone_number": "870-584-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MENA ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533337",
            "telephone_number": "870-642-4555",
            "fax_number": "870-642-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DQHHA EQUIPMENT & SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DQHHA EQUIPMENT & SUPPLY, INC.",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "870-642-4555"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durable Medical Equipment & Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.