Active NPI
County Medical Equipment LLC
- Durable Medical Equipment & Medical Supplies
- Searcy, AR
National Provider Identifier
1932239340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- COUNTY MEDICAL EQUIPMENT LLC
- Practice address
- 713 Marion St
Searcy, AR 72143-4833 - Phone
- (501) 268-9200
- Fax
- (501) 305-2515
- NPI assigned
- Mar 6, 2007
- Last updated
- Apr 26, 2024
- 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
- Johney Gibson
- Title
- Owner
- Phone
- (501) 268-9200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
713 Marion St
Searcy, AR 72143-4833
Mailing address
3005 Hawkins Dr Ste 4
Searcy, AR 72143-4973
Phone (501) 268-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149587716 | Medicaid | AR | |
| 49882 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930022449 | AR | DME Supplier - Medical Supply Company | 4789899899 | Practice locations: Searcy, AR |
National Provider Directory
National Provider DirectoryLocations
3005 Hawkins Dr
Ste 4
Searcy, AR 72143
713 Marion St
Searcy, AR 72143
Phone (501) 268-8500
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- NPI 1922095140
-
- Diagnostic Radiology Physician
- Little Rock, AR
- NPI 1164419396
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1023082542
-
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1902801384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1932239340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 HAWKINS DR STE 4",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434973",
"telephone_number": "501-268-9200",
"fax_number": "501-305-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 MARION ST",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434833",
"telephone_number": "501-268-9200",
"fax_number": "501-305-2515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY MEDICAL EQUIPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "JOHNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-268-9200"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149587716",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "49882",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.