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NPI Code Detail

MEDICARE: BIO-MEDICAL APPLICATIONS OF ARKANSAS, INC.

MEDICARE: BIO-MEDICAL APPLICATIONS OF ARKANSAS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1366554115
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF ARKANSAS, INC.
Provider Business Mailing Address
First Line : 210 BARROW HILL RD
Second Line :
City : FORREST CITY
State : AR
Zip : 72335-9518
Country : US
Telephone Number : 870-630-6484
Fax Number : 870-630-1821
Provider Business Practice Location Address
First Line : 210 BARROW HILL RD
Second Line :
City : FORREST CITY
State : AR
Zip : 72335-9518
Country : US
Telephone Number : 870-630-6484
Fax Number : 870-630-1821
Authorized Official
Title or Position : VICE PRESIDENT
Name : BARRY L. BLANTON
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 08/31/2006
Last Update Date : 10/13/2023

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