Pediatric Nutrition Provider Of Arkansas
Durable Medical Equipment & Medical Supplies
920 Edison Ave, Suite 8, Benton
Arkansas, 72015-4502
501-315-7337 Pediatric Nutrition Provider Of Arkansas is a Durable Medical Equipment & Medical Supplies in Benton, Arkansas. It is located at 920 Edison Ave, Suite 8, Benton and it's customer support contact number is 501-315-7337. The authorized person of Pediatric Nutrition Provider Of Arkansas is Mrs. Nicole C Motto who is Co-owner of this DME and her contact number is 501-315-7337. Active license number of Pediatric Nutrition Provider Of Arkansas is MG00511 for Durable Medical Equipment & Medical Supplies in Arkansas.
Pediatric Nutrition Provider Of Arkansas 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:
Pediatric Nutrition Provider Of Arkansas 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: | Pediatric Nutrition Provider Of Arkansas |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 920 Edison Ave, Suite 8, Benton,
Arkansas, 72015-4502 |
| Phone: | 501-315-7337 |
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: | Mrs. Nicole C Motto |
| Position: | Co-owner |
| Contact Number: | 501-315-7337 |
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: | 1265569453 |
| NPI Enumeration Date: | 27 Feb, 2007 |
| 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 Pediatric Nutrition Provider Of Arkansas are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | MG00511 | 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 |
| 49908 | Other | Arkansas | Bcbs |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 920 Edison Ave, Suite 8
Benton, Arkansas |
| Zip: | 72015-4502 |
| Phone Number: | 501-315-7337 |
Patients can reach Pediatric Nutrition Provider Of Arkansas at
920 Edison Ave, Suite 8, Benton, Arkansas or can
call on customer care at 501-315-7337.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.