Provider Demographics
NPI:1518697689
Name:MEDIC RENTAL INC
Entity Type:Organization
Organization Name:MEDIC RENTAL INC
Other - Org Name:
Other - Org Type:
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 1:3348 MAIN ST STE 300
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-5014
Practice Address - Country:US
Practice Address - Phone:501-481-8156
Practice Address - Fax:501-943-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies