NPIMap

Organization Active NPI

Procare Medical Inc.

  • Oxygen Equipment & Supplies (DME)
  • Blytheville, AR
National Provider Identifier
1801087507
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
27493578003 Issued in AR
Legal business name
PROCARE MEDICAL INC.
Practice address
603 N 6TH St
Blytheville, AR 72315-2409
Phone
(870) 776-1892
Fax
(870) 776-1894
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Moses Porterfield
Title
Operations MGR
Phone
(573) 695-2203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 27493578003 AR Primary

Addresses

Primary practice location

603 N 6TH St
Blytheville, AR 72315-2409

Mailing address

603 N 6TH St
Blytheville, AR 72315-2409
Phone (870) 776-1892

National Provider Directory

National Provider Directory
Tax ID family
Procare Medicalinc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

603 N 6th St
Blytheville, AR 72315
Phone (870) 776-1892

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1801087507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N 6TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152409",
            "telephone_number": "870-776-1892",
            "fax_number": "870-776-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N 6TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152409",
            "telephone_number": "870-776-1892",
            "fax_number": "870-776-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "PORTERFIELD",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "OPERATIONS MGR",
        "authorized_official_telephone_number": "573-695-2203"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AR",
            "license": "27493578003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.