Medsource Dme, Inc
Durable Medical Equipment & Medical Supplies
615 W Moultrie Dr, Blytheville
Arkansas, 72315-1936
870-780-6111 870-762-0900
Medsource Dme, Inc is a Durable Medical Equipment & Medical Supplies in Blytheville, Arkansas. It is located at 615 W Moultrie Dr, Blytheville and it's customer support contact number is 870-780-6111. The authorized person of Medsource Dme, Inc is Mr. James Ernest Stevenson Iv who is Owner/president of this DME and his contact number is 870-780-6111. Active license number of Medsource Dme, Inc is 000614 for Durable Medical Equipment & Medical Supplies in Arkansas.
Medsource Dme, Inc is 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.
DME Supplier Details:
Medsource Dme, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Medsource Dme, Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 615 W Moultrie Dr, Blytheville,
Arkansas, 72315-1936 |
| Phone: | 870-780-6111 |
| Fax: | 870-762-0900 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. James Ernest Stevenson Iv |
| Position: | Owner/president |
| Contact Number: | 870-780-6111 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1881612794 |
| NPI Enumeration Date: | 18 Jul, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medsource Dme, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 000614 | Arkansas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000614 | Other | Arkansas | Ar Board Of Pharmacy |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 615 W Moultrie Dr,
Blytheville, Arkansas |
| Zip: | 72315-1936 |
| Phone Number: | 870-780-6111 |
| Fax Number: | 870-762-0900 |
Patients can reach Medsource Dme, Inc at
615 W Moultrie Dr, Blytheville, Arkansas or can
call on customer care at 870-780-6111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.