Pkc Medical Supplies
Durable Medical Equipment & Medical Supplies
915 W B St, Russellville
Arkansas, 72801-3501
479-968-1777 479-967-1111
Pkc Medical Supplies is a Durable Medical Equipment & Medical Supplies in Russellville, Arkansas. It is located at 915 W B St, Russellville and it's customer support contact number is 479-968-1777. The authorized person of Pkc Medical Supplies is Lana Carruth, RN who is Owner of this DME and his contact number is 479-968-1777. Pkc Medical Supplies accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pkc Medical Supplies 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:
Pkc Medical Supplies 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: | Pkc Medical Supplies |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 915 W B St, Russellville,
Arkansas, 72801-3501 |
| Phone: | 479-968-1777 |
| Fax: | 479-967-1111 |
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: | Lana Carruth |
| Credentials: | RN |
| Position: | Owner |
| Contact Number: | 479-968-1777 |
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: | 1366221293 |
| NPI Enumeration Date: | 28 Sep, 2023 |
| NPI Last Update On: | 28 Sep, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pkc Medical Supplies are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Pkc Medical Supplies is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9638512247 | O20240212001218 | Pkc Medical Supplies | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 915 W B St,
Russellville, Arkansas |
| Zip: | 72801-3501 |
| Phone Number: | 479-968-1777 |
| Fax Number: | 479-967-1111 |
Patients can reach Pkc Medical Supplies at
915 W B St, Russellville, Arkansas or can
call on customer care at 479-968-1777.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.