Midstate Med-Care, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

124637716 Issued in AR

Legal business name

MIDSTATE MED-CARE, INC.

Practice address

800 Exchange Ave
Suite 104
Conway, AR 72032-7833

Phone

(501) 932-3180

Fax

(501) 932-0261

NPI assigned

Jul 30, 2006

Last updated

Apr 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James David Hicks

Title

General MGR

Phone

(501) 932-0033

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1376558023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720330781",
            "telephone_number": "501-932-3180",
            "fax_number": "501-932-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 EXCHANGE AVE",
            "address_2": "SUITE 104",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720327833",
            "telephone_number": "501-932-3180",
            "fax_number": "501-932-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSTATE MED-CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "GENERAL MGR",
        "authorized_official_telephone_number": "501-932-0033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "124637716",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "AR",
            "license": "124637716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124637716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianne Lindsey Merguie
• Lisa Merguie, OTRL
• Alan Ryan Meyer, DC
• Judy M Michaels, MD
• Jennifer Middleton, MD
• Mike S McFarland Mdpa
• Terry Todd Milam, CRNA
• Milestones Services, Inc.
• Ayisha R Miller, MS
• Brittney Miller, RBT

• Durable Medical Equipment & Medical Supplies in Conway, AR
• Providers in Conway, 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 Apr 13, 2012; 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.