Provider Demographics
NPI:1467462234
Name:DURA MED INC
Entity Type:Organization
Organization Name:DURA MED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:YARBOROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-922-6300
Mailing Address - Street 1:101 PLAZA CARMONA PL
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-3000
Mailing Address - Country:US
Mailing Address - Phone:501-922-6300
Mailing Address - Fax:501-922-6309
Practice Address - Street 1:101 PLAZA CARMONA PL
Practice Address - Street 2:SUITE A
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-3000
Practice Address - Country:US
Practice Address - Phone:501-922-6300
Practice Address - Fax:501-922-6309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR004729332B00000X, 332BC3200X, 332BN1400X, 332BP3500X, 332BX2000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5425180001Medicare ID - Type UnspecifiedCMS PROVIDER NUMBER