Provider Demographics
NPI:1235696543
Name:MEDIC RENTAL INC
Entity Type:Organization
Organization Name:MEDIC RENTAL INC
Other - Org Name:MEDIC SLEEP CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNABB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-428-0074
Mailing Address - Street 1:5801 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-1606
Mailing Address - Country:US
Mailing Address - Phone:501-664-6768
Mailing Address - Fax:501-664-0074
Practice Address - Street 1:3533 N SHILOH DR STE 4
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5317
Practice Address - Country:US
Practice Address - Phone:479-249-6381
Practice Address - Fax:479-439-4098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies