Ozark Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

26579567001 Issued in AR

Legal business name

OZARK MEDICAL EQUIPMENT

Practice address

23 Choctaw Trace
Cherokee Village, AR 72529-0000

Phone

(870) 257-4301

Fax

(870) 257-4317

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Faucheux

Title

President

Phone

(870) 257-4301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1477580694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CHOCTAW TRACE",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725290000",
            "telephone_number": "870-257-4301",
            "fax_number": "870-257-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CHOCTAW TRACE",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725290000",
            "telephone_number": "870-257-4301",
            "fax_number": "870-257-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "FAUCHEUX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-257-4301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "26579567001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49879",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 16, 2008; 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.