Healthcare Provider Details

I. General information

NPI: 1962537241
Provider Name (Legal Business Name): MORRILTON RESPIRATORY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 RAZORBACK DRIVE
MORRILTON AR
72110-0188
US

IV. Provider business mailing address

PO BOX 188
MORRILTON AR
72110-0188
US

V. Phone/Fax

Practice location:
  • Phone: 501-354-2700
  • Fax: 501-354-0214
Mailing address:
  • Phone: 501-354-2700
  • Fax: 501-354-0214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY REX WHITE
Title or Position: PRESIDENT
Credential: C.PED, CFO
Phone: 501-354-2700