Organization Name: | CARMEN C CLELLAND & LAURA A CLELLAND |
NPI Number: | 1306870043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURA A CLELLAND (OWNER) |
Mailing Address: | 207 N Williamson Ave Winslow |
State: | AZ US |
Postal Code: | 860473719 |
Phone Number: | 9282892778 |
Fax Number: | 9282896777 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1169830001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |