Advocate Medical Support Group

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADVOCATE MEDICAL SUPPORT GROUP

Practice address

300 Crestwood Cir
Mena, AR 71953-5515

Phone

(479) 394-1600

Fax

(479) 394-1606

NPI assigned

Feb 27, 2008

Last updated

May 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janet K Vandeest

Title

Owner

Phone

(479) 394-1600

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1982873626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CRESTWOOD CIR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535515",
            "telephone_number": "479-394-1600",
            "fax_number": "479-394-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CRESTWOOD CIR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535515",
            "telephone_number": "479-394-1600",
            "fax_number": "479-394-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE MEDICAL SUPPORT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "VANDEEST",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-394-1600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Mena, AR
• Providers in Mena, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.