Provider Demographics
NPI:1376572487
Name:ATTENTION DIABETICS, INC
Entity Type:Organization
Organization Name:ATTENTION DIABETICS, INC
Other - Org Name:ATTENTION MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWATZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-523-2408
Mailing Address - Street 1:2200 MALCOLM AVE STE C
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:AR
Mailing Address - Zip Code:72112-3697
Mailing Address - Country:US
Mailing Address - Phone:870-523-2408
Mailing Address - Fax:870-523-2087
Practice Address - Street 1:2200 MALCOLM AVE STE C
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-3697
Practice Address - Country:US
Practice Address - Phone:870-523-2408
Practice Address - Fax:870-523-2087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMG00311332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR159427716Medicaid
AR1179430002Medicare NSC