MEDICARE: DIAMOND MEDICAL EQUIPMENT & 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	332BX2000X	Oxygen Equipment & Supplies (DME)	1346341823	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1028730	OTHER	AR	UHC
2	48352	OTHER	AR	AR BCBS
3	5324560	OTHER	AR	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346341823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAMOND MEDICAL EQUIPMENT & SUPPLY, INC

Provider Business Mailing Address
First Line	:	300 S RODNEY PARHAM RD STE 16
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-4774
Country	:	US
Telephone Number	:	501-225-3106
Fax Number	:	501-687-0175

Provider Business Practice Location Address
First Line	:	300 S RODNEY PARHAM RD STE 16
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-4774
Country	:	US
Telephone Number	:	501-225-3106
Fax Number	:	501-687-0175

Authorized Official
Title or Position	:	OWNER
Name	:	CINDY BISHOP
Credential	:
Telephone Number	:	501-225-3106

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/27/2022

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Directions to “DIAMOND MEDICAL EQUIPMENT & SUPPLY, INC ” Practice Location

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