MEDICARE: SYNERGY HEALTHCARE LLC

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

General Provider Information

NPI Number	:	1356859011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGY HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 20059
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71903-0059
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	664 E GRAND AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-4448
Country	:	US
Telephone Number	:	501-623-4000
Fax Number	:	501-762-8299

Authorized Official
Title or Position	:	CEO
Name	:	ROBERT BUKOWSKI
Credential	:
Telephone Number	:	501-623-4000

Provider Enumeration Date	:	01/16/2018
Last Update Date	:	07/29/2024

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