| Organization Name: | CENRTAL MEDICAL SUPPLY INC. |
| NPI Number: | 1003024787 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELI TERRY FLETCHER (PRESIDENT) |
| Mailing Address: | 1200 John Barrow Rd # 304 Little Rock |
| State: | AR US |
| Postal Code: | 722056500 |
| Phone Number: | 5012247744 |
| Fax Number: | 5012247748 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |