TIPPIN SURGICAL SUPPLY (NPI# 1427139567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427139567 |
| Entity Type | Organization |
| Organization Name | TIPPIN SURGICAL SUPPLY |
| Practice Address |
502 West Pennington Street Ola AR 72853 |
| Mailing Address |
Po Box 249 Ola AR 72853-0249 |
| Practice Telephone | 4794895237 |
| Mailing Telephone | 4794895237 |
| Mailing Fax Number | 4794895714 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MR. BARRY TIPPIN (OWNER) |
| Authorized Official Telephone | 4794895237 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
0339347500 | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 122975741 | 05 |
| Street Address |
502 WEST PENNINGTON STREET |
| City | OLA |
| State | AR |
| Zip Code | 72853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437283421 | Yell County Special Services Center, Inc. | Day Training, Developmentally Disabled Services | 418 North 7th, Ola, AR 72853 | 2007-03-14 |
| 1467521229 | Cobbs Drug Store | Pharmacy | 100 Fourche, Ola, AR 72853 | 2006-11-07 |
| 1760418842 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 402 South Scenic 7 Drive, Ola, AR 72853 | 2006-06-23 |
| 1215903869 | Yell County Nursing Home Inc | Skilled Nursing Facility | 502 West Pennington, Ola, AR 72853 | 2006-02-24 |
| 1467886564 | Deerview | Skilled Nursing Facility | 502 West Pennington, Ola, AR 72853 | 2013-08-26 |
| 1679648471 | Cobb Drug Store | Pharmacy | 100 Fourche, Ola, AR 72853 | 2006-11-21 |
| 1558904979 | Ola Ops, Inc. | Skilled Nursing Facility | 502 W Pennington St, Ola, AR 72853-8851 | 2019-10-18 |
| 1366479818 | Karl P Sandberg | Family Medicine | 402 S Scenic 7 Dr, Ola, AR 72853-8852 | 2006-06-27 |
| 1144511635 | Two Rivers School District H | Skilled Nursing Facility | 17727 E State Highway 28, Ola, AR 72853-9382 | 2011-05-02 |
| 1043502594 | Pat A Briley | Registered Nurse | 17727 E State Highway 28, Ola, AR 72853-9382 | 2011-05-03 |
| Find all providers in zip 72853 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881232536 | Trina Smith | Custodial Care Facility | 107 Summer Pl, Hot Springs, AR 71913-5165 | 2019-12-12 |
| 1306105945 | Legacy Healthcare Management, Inc. | Custodial Care Facility | 4800 W 13th St, Ste #d, Little Rock, AR 72204-1900 | 2012-05-15 |
| 1336356179 | Baxter Retirement Village | Custodial Care Facility | 550 W 6th St, Mountain Home, AR 72653-3420 | 2007-05-17 |
| 1942417795 | Mulberry Retirement Center | Custodial Care Facility | 949 N Main St, Mulberry, AR 72947-8538 | 2007-05-17 |
| 1578770335 | Harrison Retirement Center | Custodial Care Facility | 520 Harness St, Harrison, AR 72601-8905 | 2007-05-17 |
| 1700093507 | Greenwood Retirement Center | Custodial Care Facility | 1200 W Center St, Greenwood, AR 72936-3716 | 2007-05-17 |
| 1942344288 | Boeckmann and Sons | Custodial Care Facility | 1803 Lindauer Rd, Forrest City, AR 72335-2407 | 2007-02-19 |
| 1366590572 | Harris Southeast Care Home | Custodial Care Facility | 534 S 16th St, West Memphis, AR 72301-5631 | 2007-01-07 |
| 1114485471 | Short Mountain Lodge Residential Care | Custodial Care Facility | 2721 W Walnut St, Paris, AR 72855-3642 | 2019-03-06 |
| 1548435563 | Community and Governmental Consultants Inc. | Custodial Care Facility | 100 Ridgeview Rd, Eureka Springs, AR 72632-9358 | 2008-04-30 |
| 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.