MEDICARE: UNIFIED MEDICAL EQUIPMENT SOLUTIONS, JACKSONVILLE

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)

General Provider Information

NPI Number	:	1508603028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFIED MEDICAL EQUIPMENT SOLUTIONS, JACKSONVILLE

Provider Business Mailing Address
First Line	:	2805 MID CITIES DR STE 5
Second Line	:
City	:	BENTONVILLE
State	:	AR
Zip	:	72712-4291
Country	:	US
Telephone Number	:	479-364-0043
Fax Number	:	479-364-0413

Provider Business Practice Location Address
First Line	:	1400 BRADEN ST STE 3
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076-3721
Country	:	US
Telephone Number	:	501-453-5650
Fax Number	:	501-453-6820

Authorized Official
Title or Position	:	REVENUE INTEGRITY COORDINATOR
Name	:	ELIZABETH GOWAN
Credential	:	BS HA
Telephone Number	:	479-787-3559

Provider Enumeration Date	:	07/11/2024
Last Update Date	:	02/04/2026

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