Provider Demographics
NPI:1235743808
Name:DQHHA EQUIPMENT & SUPPLY, INC.
Entity Type:Organization
Organization Name:DQHHA EQUIPMENT & SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-642-4555
Mailing Address - Street 1:209 W DEQUEEN AVE
Mailing Address - Street 2:
Mailing Address - City:DE QUEEN
Mailing Address - State:AR
Mailing Address - Zip Code:71832-2809
Mailing Address - Country:US
Mailing Address - Phone:870-642-4555
Mailing Address - Fax:870-642-8706
Practice Address - Street 1:103 W DODSON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-3121
Practice Address - Country:US
Practice Address - Phone:870-642-4555
Practice Address - Fax:870-642-8706
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DQHHA EQUIPMENT & SUPPLY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies