NPIMap

Organization Active NPI

Stone County Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Mountain View, AR
National Provider Identifier
1982768214
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MG00284 Issued in AR
Legal business name
STONE COUNTY MEDICAL SUPPLY
Practice address
125 West Main
Mountain View, AR 72560-1938
Phone
(870) 269-2583
Fax
(870) 269-5357
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Julius R Henderson
Title
Manager
Phone
(870) 269-2583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MG00284 AR Primary

Addresses

Primary practice location

125 West Main
Mountain View, AR 72560-1938

Mailing address

PO Box 1938
Mountain View, AR 72560-1938
Phone (870) 269-2583

Other identifiers 1

IdentifierTypeStateIssuer
49681OtherARBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982768214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1938",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725601938",
            "telephone_number": "870-269-2583",
            "fax_number": "870-269-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WEST MAIN",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725601938",
            "telephone_number": "870-269-2583",
            "fax_number": "870-269-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE COUNTY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-269-2583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "MG00284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "49681",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.