Organization Name: | CAMDEN MEDICAL SUPPLY INC |
NPI Number: | 1033199880 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN L MENCHEN (CHIEF ADMINISTRATION OFFICER) |
Mailing Address: | 118 E 12th St Hope |
State: | AR US |
Postal Code: | 718017307 |
Phone Number: | 8707222210 |
Fax Number: | 8707222938 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |