| Organization Name: | CLOCK MEDICAL SUPPLY INC |
| NPI Number: | 1033190137 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT L CLOCK (PRESIDENT) |
| Mailing Address: | 901 Industrial Blvd Winfield |
| State: | KS US |
| Postal Code: | 671569129 |
| Phone Number: | 6202210550 |
| Fax Number: | 6202217460 |
| NPI Enumeration Date: | 11/07/2005 |
| NPI Last Update Date: | 01/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |