SPECTRUM INC (NPI# 1336226612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336226612 |
| Entity Type | Organization |
| Organization Name | SPECTRUM INC |
| Other Organization Name | AFFORDABLE MEDICAL EQUIPMENT |
| Practice Address |
1272 Harkrider St Conway AR 72032-4263 |
| Practice Telephone | 5013279500 |
| Practice Fax Number | 5013297201 |
| Mailing Telephone | 5013279500 |
| Mailing Fax Number | 5013297201 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-12-03 |
| Authorized Official Name | KEN SPECK (OWNER) |
| Authorized Official Telephone | 5013279500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 49904 | 01 |
| Other Name | Type Code |
|---|---|
| AFFORDABLE MEDICAL EQUIPMENT | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SPECTRUM INC. | 101 Union St., Clinton, MA 01510 |
| Virginia Business Entities | SPECTRUM INC. GENERAL CONTRACTING | 8200 Greensboro Drive, Suite 600, Mclean, Virginia 22102 |
| Massachusetts Corporations | SPECTRUM INCENTIVES, INC. | 5 Bernardo Dr., South Attleboro, MA 02703 |
| Street Address |
1272 HARKRIDER ST |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-4263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073088068 | Arkansas Surgical Hospital, LLC | Durable Medical Equipment & Medical Supplies | 605 Dave Ward Dr Ste 104, Conway, AR 72034-7138 | 2018-10-05 |
| 1346765401 | Sleep Management Services Dme | Durable Medical Equipment & Medical Supplies | 5 Medical Ln Ste Candd, Conway, AR 72034-4912 | 2017-08-10 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| 1730528787 | Mother Knows Best Maternity and Recuperative Wellness LLC | Durable Medical Equipment & Medical Supplies | 367 Modock Hill Rd, Conway, NH 03818 | 2013-06-21 |
| 1164763157 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2550 Prince St, Conway, AR 72034-3756 | 2013-03-15 |
| 1528331576 | Joint Technology Inc. | Durable Medical Equipment & Medical Supplies | 825 Parkway St, Execuplex Office Center Suite #7, Conway, AR 72034-5342 | 2012-02-21 |
| 1275868176 | Carolina Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3152 W Highway 501, Conway, SC 29526-4411 | 2009-10-09 |
| 1396978524 | Causey Medical Supply | Durable Medical Equipment & Medical Supplies | 3892 2nd Loop Rd, Conway, SC 29526-4602 | 2009-09-04 |
| 1396988291 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 151 Myrtle Ridge Dr, Conway, SC 29526-2702 | 2009-04-08 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.