Provider Demographics
NPI:1043545551
Name:MEDICAL NECESSITIES OF ARKANSAS, LLC
Entity Type:Organization
Organization Name:MEDICAL NECESSITIES OF ARKANSAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:870-935-4825
Mailing Address - Street 1:2000 E MATTHEWS AVE
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-4348
Mailing Address - Country:US
Mailing Address - Phone:870-935-4825
Mailing Address - Fax:870-935-5744
Practice Address - Street 1:2000 E MATTHEWS AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4348
Practice Address - Country:US
Practice Address - Phone:870-935-4825
Practice Address - Fax:870-935-5744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies