Provider Demographics
NPI:1013167154
Name:ABSOLUTE MEDICAL USA, INC.
Entity Type:Organization
Organization Name:ABSOLUTE MEDICAL USA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SEC./TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:W
Authorized Official - Last Name:WOOSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-941-5401
Mailing Address - Street 1:1112 S ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-9157
Mailing Address - Country:US
Mailing Address - Phone:479-705-9401
Mailing Address - Fax:
Practice Address - Street 1:1112 S ROGERS ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-9157
Practice Address - Country:US
Practice Address - Phone:479-705-9401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABSOLUTE MEDICAL USA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR30707878002332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies