BRENDA D POLSTON (NPI# 1285683250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285683250 |
| Entity Type | Organization |
| Organization Name | BRENDA D POLSTON |
| Other Organization Name | THAT CERTAIN LOOK |
| Practice Address |
300 Van Buren Judsonia AR 72081-0297 |
| Mailing Address |
Po Box 297 300 Van Buren Judsonia AR 72081-0297 |
| Practice Telephone | 5017295490 |
| Practice Fax Number | 5017291511 |
| Mailing Telephone | 5017295490 |
| Mailing Fax Number | 5017291511 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | MRS. BRENDA D POLSTON (OWNER) |
| Authorized Official Telephone | 5017295490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 141085716 | 05 | |
| MS | 00440777 | 05 | |
| AR | BLUE CROSS BLUE SHIELD | 49701 | 01 |
| Other Name | Type Code |
|---|---|
| THAT CERTAIN LOOK | Doing Business As Name - Organization |
| Street Address |
300 VAN BUREN |
| City | JUDSONIA |
| State | AR |
| Zip Code | 72081-0297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942637889 | Hannah Rhea Douglas | Counselor | 120 Meghan Ln., Judsonia, AR 72081 | 2013-10-10 |
| 1922445758 | Jeremy Carter | Counselor | 120 Meghan Lane, Judsonia, AR 72081 | 2013-06-03 |
| 1326370990 | That Certain Look, Inc. | Durable Medical Equipment & Medical Supplies | 300 Van Buren St., Judsonia, AR 72081 | 2010-02-08 |
| 1487984654 | Eliza Jayne | Durable Medical Equipment & Medical Supplies | 300 Van Buren Street, Judsonia, AR 72081 | 2010-01-11 |
| 1295951440 | Mary Ann Jackson | Speech-Language Pathologist | 1004 Boardman, Judsonia Elementary School, Judsonia, AR 72081 | 2007-04-17 |
| 1134345598 | Elizabeth D Thompson | Speech-Language Pathologist | 3259 Hwy. 157, Judsonia, AR 72081 | 2007-04-17 |
| 1679654818 | Health-way Pharmacy, Inc. | Pharmacy | 803 Hwy 367 N, Judsonia, AR 72081 | 2006-10-17 |
| 1205899085 | Senior Care Inc | Assisted Living Facility | 101 Cynthia St, Judsonia, AR 72081 | 2006-04-11 |
| 1891911400 | Ryan Russ | Counselor | 120 Meghan Ln, Judsonia, AR 72081 | 2007-04-18 |
| 1760447577 | Senior Care Inc | Skilled Nursing Facility | 101 Cynthia St, Judsonia, AR 72081 | 2006-04-18 |
| Find all providers in zip 72081 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326370990 | That Certain Look, Inc. | Durable Medical Equipment & Medical Supplies | 300 Van Buren St., Judsonia, AR 72081 | 2010-02-08 |
| 1487984654 | Eliza Jayne | Durable Medical Equipment & Medical Supplies | 300 Van Buren Street, Judsonia, AR 72081 | 2010-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689524 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 9 Freeway Dr Ste B, Little Rock, AR 72204-2486 | 2020-11-06 |
| 1770182446 | Tpab Medical | Durable Medical Equipment & Medical Supplies | 406 Honey Suckle, Brookland, AR 72417-8980 | 2020-10-22 |
| 1235743808 | Dqhha Equipment & Supply, Inc. | Durable Medical Equipment & Medical Supplies | 103 W Dodson St, Nashville, AR 71852-3121 | 2020-09-01 |
| 1497363436 | Just Like You Post-mastectomy Fitting Boutique | Durable Medical Equipment & Medical Supplies | 2913 King St Ste 3, Jonesboro, AR 72401-5353 | 2020-07-15 |
| 1427687698 | Ccdld,inc | Durable Medical Equipment & Medical Supplies | 18 Farnham Loop, Little Rock, AR 72223-9199 | 2020-04-08 |
| 1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
| 1447883871 | Innovative Outcome, Inc. | Durable Medical Equipment & Medical Supplies | 17300 Chenal Pkwy Ste 130, Little Rock, AR 72223-5802 | 2020-02-13 |
| 1477185130 | Jarrad Johnson | Durable Medical Equipment & Medical Supplies | 3017 Glen Flora Way, Fort Smith, AR 72908-9307 | 2020-02-10 |
| 1720619224 | Sana Solutions | Durable Medical Equipment & Medical Supplies | 11719 Hinson Rd Ste Officeh, Little Rock, AR 72212-3402 | 2020-02-03 |
| 1205475902 | Davie Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 2705 Harrison St, Batesville, AR 72501-7428 | 2019-12-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.