Provider Demographics
NPI:1285749358
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:501-664-6768
Mailing Address - Fax:501-664-6817
Practice Address - Street 1:12315 CHENAL PKWY STE C
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2764
Practice Address - Country:US
Practice Address - Phone:501-664-6768
Practice Address - Fax:501-664-0074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR104330716Medicaid
AR48157OtherBCBS
AR48157OtherBCBS