Organization Active NPI

County Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Searcy, AR
National Provider Identifier
1932239340
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149587716MedicaidAR
49882OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930022449 AR DME Supplier - Medical Supply Company 4789899899 Practice locations: Searcy, AR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.