MEDICARE: IHC SUPPLY INCORPORATED

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1588385876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IHC SUPPLY INCORPORATED

Provider Business Mailing Address
First Line	:	3911 CENTRAL AVE STE H
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-7210
Country	:	US
Telephone Number	:	501-623-4422
Fax Number	:

Provider Business Practice Location Address
First Line	:	3911 CENTRAL AVE STE H
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-7210
Country	:	US
Telephone Number	:	501-623-4422
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARK SHAWN BRAZIEL
Credential	:
Telephone Number	:	501-623-4422

Provider Enumeration Date	:	09/06/2022
Last Update Date	:	09/16/2025

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Directions to “IHC SUPPLY INCORPORATED ” Practice Location

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