Provider Demographics
NPI:1720641707
Name:O'BRIAN HEALTHCARE INC
Entity Type:Organization
Organization Name:O'BRIAN HEALTHCARE INC
Other - Org Name:O'BRIAN HEALTHCARE INC- HYPERLIMITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-321-9461
Mailing Address - Street 1:117 PIPER ST STE G
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-8263
Mailing Address - Country:US
Mailing Address - Phone:501-321-9461
Mailing Address - Fax:501-321-9552
Practice Address - Street 1:117 PIPER ST STE G
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-8263
Practice Address - Country:US
Practice Address - Phone:501-321-9461
Practice Address - Fax:501-321-9552
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:O'BRIAN HEALTHCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-16
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR217945733Medicaid