NPIMap

Organization Active NPI

Delta Memorial Hospital

Doing business as Delta Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Dumas, AR
National Provider Identifier
1770618266
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DELTA MEMORIAL HOSPITAL
Doing business as
Delta Medical Supply
Practice address
811 Hwy 65 South
Dumas, AR 71639
Phone
(870) 382-4303
Fax
(870) 382-6555
NPI assigned
Feb 23, 2007
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Cris Bolin
Title
Cfo
Phone
(870) 382-8126

Specialties & licenses 1

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

Addresses

Primary practice location

811 Hwy 65 South
Dumas, AR 71639

Mailing address

811 Hwy 65 South
Dumas, AR 71639
Phone (870) 382-4303

Other names 1

  • Delta Medical Supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Delta Memorial Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1770618266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 HWY 65 SOUTH",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-382-4303",
            "fax_number": "870-382-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 HWY 65 SOUTH",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-382-4303",
            "fax_number": "870-382-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "CRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-382-8126"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dumas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.