Provider Demographics
NPI:1417930082
Name:SMITHS RESPIRATORY EQUIPMENT & SERVICES
Entity Type:Organization
Organization Name:SMITHS RESPIRATORY EQUIPMENT & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMMY
Authorized Official - Middle Name:TERRELL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-853-8016
Mailing Address - Street 1:249 LINDER RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71646-9527
Mailing Address - Country:US
Mailing Address - Phone:870-853-8016
Mailing Address - Fax:870-853-9221
Practice Address - Street 1:249 LINDER RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:AR
Practice Address - Zip Code:71646-9527
Practice Address - Country:US
Practice Address - Phone:870-853-8016
Practice Address - Fax:870-853-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0899640001Medicare NSC