Organization Name: | BROOKS MEDICAL OF MOUNTAIN HOME, INC. |
NPI Number: | 1225226988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHONDA FLOWERS (PRESIDENT) |
Mailing Address: | 860 Highway 62 E Suite 10 Mountain Home |
State: | AR US |
Postal Code: | 726533248 |
Phone Number: | 8704249808 |
Fax Number: | 8704249810 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 05/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 31275703001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |