Provider Demographics
NPI:1083891832
Name:MORRIS MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:MORRIS MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:TIPPETT
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-834-5551
Mailing Address - Street 1:9871 BROCKINGTON RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3592
Mailing Address - Country:US
Mailing Address - Phone:501-834-5551
Mailing Address - Fax:501-834-5552
Practice Address - Street 1:9871 BROCKINGTON RD STE 3
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3592
Practice Address - Country:US
Practice Address - Phone:501-834-5551
Practice Address - Fax:501-834-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR167690716Medicaid
6080310001Medicare NSC