Healthcare Provider Details

I. General information

NPI: 1205874138
Provider Name (Legal Business Name): SCOPE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 01/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800B S CARAWAY RD SUITE 26
JONESBORO AR
72404-0007
US

IV. Provider business mailing address

4901 OUTBACK CV
JONESBORO AR
72404-8566
US

V. Phone/Fax

Practice location:
  • Phone: 870-680-3300
  • Fax: 855-396-4046
Mailing address:
  • Phone: 870-680-3300
  • Fax: 870-932-0631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. HAROLD S. CALKINS
Title or Position: PRESIDENT
Credential: CPO
Phone: 870-680-3300