MEDICARE: FAMILY MEDICAL SUPPLY, 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174556898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MEDICAL SUPPLY, INC.

Provider Business Mailing Address
First Line	:	115 N COLLEGE ST
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-3651
Country	:	US
Telephone Number	:	870-424-3472
Fax Number	:	870-424-3475

Provider Business Practice Location Address
First Line	:	115 N COLLEGE ST
Second Line	:
City	:	MOUNTAIN HOME
State	:	AR
Zip	:	72653-3651
Country	:	US
Telephone Number	:	870-424-3472
Fax Number	:	870-424-3475

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KENNETH NICK ARNOLD
Credential	:
Telephone Number	:	870-424-3472

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	04/20/2026

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