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MEDSOURCE DME, INC
NPI 1881612794
Durable Medical Equipment & Medical Supplies in Blytheville, AR

Active since July 18, 2006
615 W MOULTRIE DR, BLYTHEVILLE, AR 72315(870) 780-6111(870) 762-0900 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medsource Dme, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDSOURCE DME, INC (NPI 1881612794) is a healthcare organization registered as a durable medical equipment & medical supplies in Blytheville, Arkansas and active in the NPI registry since July 2006. The organization lists James Ernest Stevenson, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1881612794
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMEDSOURCE DME, INC
Location Address615 W MOULTRIE DRBlytheville, AR 72315-1936
Mailing Address615 W Moultrie DrBlytheville, AR 72315-1936 · (870) 780-6111 · Fax (870) 762-0900
Phone(870) 780-6111
Fax(870) 762-0900
Organization SubpartNo
Authorized OfficialJames Ernest StevensonOwner/president · (870) 780-6111
Enumeration DateJuly 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881612794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in AR · 000614
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's use in the home and that are usable for an extended period of time.
615 W MOULTRIE DR, Blytheville, AR 72315
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Other Identifiers 1

Other000614AR · Ar Board Of Pharmacy

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medsource Dme, Inc's NPI number?

The NPI number for Medsource Dme, Inc is 1881612794. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Medsource Dme, Inc located?

Medsource Dme, Inc is located at 615 W Moultrie Dr, Blytheville, AR 72315. The listed phone number is (870) 780-6111.

What is Medsource Dme, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Medsource Dme, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.