Organization Name: | PROCARE MEDICAL, INC |
NPI Number: | 1336233535 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBBIE SMITH (OPERATIONS MANAGER) |
Mailing Address: | 210 W Main St Steele |
State: | MO US |
Postal Code: | 638771436 |
Phone Number: | 5736952203 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 01/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |