Provider Demographics
NPI:1801610175
Name:MEDIC RENTAL INC
Entity type:Organization
Organization Name:MEDIC RENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNABB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-428-0074
Mailing Address - Street 1:2821 KAVANAUGH BLVD STE 3A
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3868
Mailing Address - Country:US
Mailing Address - Phone:877-232-5877
Mailing Address - Fax:501-664-0074
Practice Address - Street 1:690 SHELBY TRAIL
Practice Address - Street 2:STE 500
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-9114
Practice Address - Country:US
Practice Address - Phone:877-232-5877
Practice Address - Fax:866-277-8095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies