Active NPI
Siebert Mobilty Inc.
Doing business as Arkansas Conversion Center
- Durable Medical Equipment & Medical Supplies
- Benton, AR
National Provider Identifier
1679875363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 315692-62-001
- Legal business name
- SIEBERT MOBILTY INC.
- Doing business as
- Arkansas Conversion Center
- Practice address
- 712 Hwy 5 N
Benton, AR 72019 - Phone
- (501) 316-2466
- NPI assigned
- Dec 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlton Finney
- Title
- Genral Manager
- Phone
- (501) 316-2466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 315692-62-001 | AR | Primary |
Addresses
Primary practice location
712 Hwy 5 N
Benton, AR 72019
Mailing address
712 Highway 5 N
Benton, AR 72019-8558
Phone (501) 316-2466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168186784 | Medicaid | AR |
Other names 1
- Arkansas Conversion Center
National Provider Directory
National Provider Directory- Tax ID family
- Arkansas Conversion Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Vehicle Modifications Contractor
- Grimes, IA
- NPI 1548481591
Locations
712 Highway 5 N
Benton, AR 72019
Phone (501) 316-2466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291161600000",
"number": "1679875363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 HIGHWAY 5 N",
"city": "BENTON",
"state": "AR",
"postal_code": "720198558",
"telephone_number": "501-316-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 HWY 5 N",
"city": "BENTON",
"state": "AR",
"postal_code": "72019",
"telephone_number": "501-316-2466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIEBERT MOBILTY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A",
"authorized_official_last_name": "FINNEY",
"authorized_official_first_name": "CARLTON",
"authorized_official_title_or_position": "GENRAL MANAGER",
"authorized_official_telephone_number": "501-316-2466",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AR",
"license": "315692-62-001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168186784",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arkansas Conversion Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.