Healthcare Provider Details

I. General information

NPI: 1548164486
Provider Name (Legal Business Name): AIRWAYS MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3931 N SHILOH DR STE 2A
FAYETTEVILLE AR
72703-5581
US

IV. Provider business mailing address

6414 S 118TH ST
OMAHA NE
68137-3576
US

V. Phone/Fax

Practice location:
  • Phone: 479-580-5880
  • Fax: 479-668-4653
Mailing address:
  • Phone: 402-281-4404
  • Fax: 402-281-4470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHEILA ROBERSON
Title or Position: COMPLIANCE OFFICER
Credential:
Phone: 602-818-5258