Provider Demographics
NPI:1144416777
Name:ABSOLUTE MEDICAL USA, INC.
Entity Type:Organization
Organization Name:ABSOLUTE MEDICAL USA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-941-5401
Mailing Address - Street 1:2693 SOUTH SECOND ST.
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-2697
Mailing Address - Country:US
Mailing Address - Phone:501-941-5401
Mailing Address - Fax:501-605-0178
Practice Address - Street 1:2693 SOUTH SECOND ST.
Practice Address - Street 2:
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-3319
Practice Address - Country:US
Practice Address - Phone:501-941-5401
Practice Address - Fax:501-605-0178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2007-6508332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR6113200001Medicare NSC