PRO-MED OF THE JONESBORO, INC (NPI# 1912182445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912182445 |
| Entity Type | Organization |
| Organization Name | PRO-MED OF THE JONESBORO, INC |
| Practice Address |
2379 Highway 62 412 Suite L Highland AR 72542-9393 |
| Mailing Address |
300 Carson St Suite 103 Jonesboro AR 72401-3104 |
| Practice Telephone | 8708563300 |
| Mailing Telephone | 8709319565 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | MR. GREG BROOKS (OWNER) |
| Authorized Official Telephone | 8709310022 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRO-MED OF JONESBORO, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 145632716 | 05 | |
| AR | B/C B/S OF ARKANSAS | 48932 | 01 |
| Street Address |
2379 HIGHWAY 62 412 SUITE L |
| City | HIGHLAND |
| State | AR |
| Zip Code | 72542-9393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700120383 | Above & Beyond Home Care Inc | In Home Supportive Care | 2379 Highway 62 412, Suite H, Highland, AR 72542-9393 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978351 | Together: Individual and Family Focused Counseling, Pllc | Counselor | 3342 Highway 42 412, Hardy, AR 72542 | 2019-08-22 |
| 1952797979 | April Stacey | Day Training/Habilitation Specialist | 2012 Highway 62/412, Highland, AR 72542 | 2015-04-07 |
| 1760891519 | Chasity Johnson | Specialist/Technologist | 300 Boothe Rd, Hardy, AR 72542 | 2014-08-06 |
| 1346427093 | Benjamin Lee Cravens | Counselor | 2423 W Hwy 62/412, Hardy, AR 72542 | 2008-01-24 |
| 1689853665 | Glden Care Adult Day Health Care Inc. | Respite Care | 1508 B Hwy 62/412, Hardy, AR 72542 | 2007-10-26 |
| 1942404975 | Goldencare Adhc, Inc | Clinic/Center | 1508 B Hwy 62 412, Highland, AR 72542 | 2007-06-13 |
| 1710003769 | Karen Ann Schadler | Durable Medical Equipment & Medical Supplies | 3115 Hwy 62-412, Hardy, AR 72542 | 2007-03-21 |
| 1902956246 | Andrea Davis | Pharmacist | Hwy 62 412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
| 1720138068 | Clifford Marsh Davis | Pharmacist | Hwy 62-412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
| 1316026891 | Dan T Speir Od Pa | Optometrist | 1238 Hwy 62 412, Ste B, Hardy, AR 72542 | 2006-11-03 |
| Find all providers in zip 72542 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366684409 | Complete Care Inc | Durable Medical Equipment & Medical Supplies | 1638 Highway 62 412, Suite 1c, Highland, AR 72542-9471 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281222 | Unified Medical Equipment Solutions | Durable Medical Equipment & Medical Supplies | 2000 Mclain St Ste F, Newport, AR 72112-3762 | 2020-09-28 |
| 1639639040 | Adapthealth - Missouri LLC | Durable Medical Equipment & Medical Supplies | 5436 Bleaux Ave Ste A, Springdale, AR 72762-0750 | 2019-03-21 |
| 1679041263 | Elite Medical Care, LLC | Durable Medical Equipment & Medical Supplies | 4924 E Nettleton Ave, Jonesboro, AR 72401-6553 | 2018-11-13 |
| 1386124022 | Southern Home Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1058 Highland Cir Ste 12, Mountain Home, AR 72653-3275 | 2018-08-21 |
| 1568820330 | Sleep Partners, LLC | Durable Medical Equipment & Medical Supplies | 5 Medical Ln, Suite C & D, Conway, AR 72034-4912 | 2016-02-08 |
| 1558757476 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 3000 Military Rd Ste 1, Benton, AR 72015-2734 | 2015-04-07 |
| 1841639960 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 134 S George, Mt Ida, AR 71953 | 2013-06-21 |
| 1154680544 | Little Rock Respiratory | Durable Medical Equipment & Medical Supplies | 15001 Chicopee Trl, Little Rock, AR 72210-3232 | 2012-05-07 |
| 1639435464 | Faith Medical Incorporated | Durable Medical Equipment & Medical Supplies | 1360 S Constitution Ave, Ashdown, AR 71822-8652 | 2012-04-05 |
| 1033487491 | Affordable Home Health Care Inc | Durable Medical Equipment & Medical Supplies | 4707 E Johnson Ave, Jonesboro, AR 72401-1999 | 2011-12-13 |
| Find all providers with the same taxonomy | ||||
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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.