Organization Name: | CAMDEN MEDICAL SUPPLY, INC. |
NPI Number: | 1194795286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN L MENCHEN (CHIEF COMPLIANCE OFFICER) |
Mailing Address: | 503 S Central Ave Idabel |
State: | OK US |
Postal Code: | 747456061 |
Phone Number: | 5802867117 |
Fax Number: | 5802867828 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 01/25/2008 |
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: |