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NPI Code Detail

MEDICARE: NEWPORT HOSPITAL MEDICAL SUPPLY

MEDICARE: NEWPORT HOSPITAL MEDICAL SUPPLY
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
1332B00000XDurable Medical Equipment & Medical SuppliesG00307AR

General Provider Information

NPI Number : 1447289228
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEWPORT HOSPITAL MEDICAL SUPPLY
Provider Business Mailing Address
First Line : 2000 MCLAIN ST
Second Line :
City : NEWPORT
State : AR
Zip : 72112-3661
Country : US
Telephone Number : 870-523-2408
Fax Number : 870-523-2087
Provider Business Practice Location Address
First Line : 329 W SEARCY ST
Second Line :
City : HEBER SPRINGS
State : AR
Zip : 72543-3840
Country : US
Telephone Number : 501-362-2441
Fax Number : 501-362-5485
Authorized Official
Title or Position : CFO
Name : TIMOTHY M MARTIN
Credential :
Telephone Number : 870-523-2408
Provider Enumeration Date : 07/02/2006
Last Update Date : 08/22/2020

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Directions to “NEWPORT HOSPITAL MEDICAL SUPPLY ” Practice Location

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