Provider Demographics
NPI:1689729113
Name:A-PLUS MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:A-PLUS MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:PETTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-374-5672
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:MABELVALE
Mailing Address - State:AR
Mailing Address - Zip Code:72103-0850
Mailing Address - Country:US
Mailing Address - Phone:501-374-5672
Mailing Address - Fax:501-372-4399
Practice Address - Street 1:10711 OTTER CREEK EAST BLVD
Practice Address - Street 2:
Practice Address - City:MABELVALE
Practice Address - State:AR
Practice Address - Zip Code:72103-1670
Practice Address - Country:US
Practice Address - Phone:501-374-5672
Practice Address - Fax:501-372-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5082320001Medicare NSC