Provider Demographics
NPI:1700404142
Name:CUFFIE HEALTHCARE ON WHEELS
Entity Type:Organization
Organization Name:CUFFIE HEALTHCARE ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:A LISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUFFIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-394-4600
Mailing Address - Street 1:403 INGRAM BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-3403
Mailing Address - Country:US
Mailing Address - Phone:870-394-4600
Mailing Address - Fax:870-533-5564
Practice Address - Street 1:403 INGRAM BLVD
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-3403
Practice Address - Country:US
Practice Address - Phone:870-394-4600
Practice Address - Fax:870-533-5564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)