| Organization Name: | CAMDEN MEDICAL SUPPLY INC |
| NPI Number: | 1124098223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN L MENCHEN (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 212 S Jefferson Ave Elk City |
| State: | OK US |
| Postal Code: | 736445738 |
| Phone Number: | 5802258844 |
| Fax Number: | 5802250785 |
| NPI Enumeration Date: | 01/23/2006 |
| NPI Last Update Date: | 04/01/2013 |
| 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: | |