Provider Demographics
NPI:1699824532
Name:HUGHES MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:HUGHES MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFERSON
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-339-3128
Mailing Address - Street 1:503 S BROADWAY
Mailing Address - Street 2:PO BOX 922
Mailing Address - City:HUGHES
Mailing Address - State:AR
Mailing Address - Zip Code:72348-0922
Mailing Address - Country:US
Mailing Address - Phone:870-339-3128
Mailing Address - Fax:870-339-3795
Practice Address - Street 1:503 S BROADWAY
Practice Address - Street 2:
Practice Address - City:HUGHES
Practice Address - State:AR
Practice Address - Zip Code:72348-0922
Practice Address - Country:US
Practice Address - Phone:870-339-3128
Practice Address - Fax:870-339-3795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR14754332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440749Medicaid
AR140895716Medicaid
AR1324260001Medicare ID - Type Unspecified
AR140895716Medicaid