Beacon Drive Inn of Booneville,Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Fort Smith, AR

NPI 1356432082 · NPPES record last updated Mar 17, 2008

Key facts

NPI
1356432082
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
013883 (AR)
Legal business name
BEACON DRIVE INN OF BOONEVILLE,INC
Practice address
415 Rogers Ave
Fort Smith, AR 72901-1903
Phone
(479) 782-0363
Fax
(479) 783-1188
NPI assigned
Sep 27, 2006
Organization subpart
No

Authorized official

Name
Mr. Michael S Morton
Title
President
Phone
(479) 783-4672

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 013883 AR Yes

Addresses

Primary practice location

415 Rogers Ave
Fort Smith, AR 72901-1903

Mailing address

415 Rogers Ave
Fort Smith, AR 72901-1903
Phone (479) 782-0363

Other names

  • B.D.I. Doing business as

Other providers in Fort Smith, AR

All providers in Fort Smith, AR · Durable Medical Equipment & Medical Supplies in Arkansas

Sources for this page

Verify at the official NPI Registry.