Organization Name: | O'BRIAN HEALTHCARE, INC |
NPI Number: | 1053305078 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUG O GREEN (OWNER) |
Mailing Address: | 1534 Malvern Ave Ste D Hot Springs |
State: | AR US |
Postal Code: | 719016508 |
Phone Number: | 5013219462 |
Fax Number: | 5013219552 |
NPI Enumeration Date: | 09/06/2005 |
NPI Last Update Date: | 09/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | MG00362 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |