CLOVER FAMILY CORP (NPI# 1306825005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306825005 |
| Entity Type | Organization |
| Organization Name | CLOVER FAMILY CORP |
| Other Organization Name | CLOVER'S MASTECTOMY AND MEDICAL SUPPLY |
| Practice Address |
1040 S Church St Burlington NC 27215-5046 |
| Practice Telephone | 3362228052 |
| Practice Fax Number | 3362228091 |
| Mailing Telephone | 3362228052 |
| Mailing Fax Number | 3362228091 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | JASON ALEXANDER (PRESIDENT) |
| Authorized Official Telephone | 9198124557 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 00131 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CHILD PHONE NUMBER | 30205 | 01 |
| Other Name | Type Code |
|---|---|
| CLOVER'S MASTECTOMY AND MEDICAL SUPPLY | Doing Business As Name - Organization |
| Street Address |
1040 S CHURCH ST |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831346964 | Clover Marjorie Colonel | Orthotic Fitter | 1040 S Church St, Burlington, NC 27215-5046 | 2008-08-20 |
| 1013063874 | Thomas Martin Colonel | Pharmacist | 1040 S Church St, Burlington, NC 27215-5046 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883673 | Triad Mobility & Supply LLC | Durable Medical Equipment & Medical Supplies | 2378 Corporation Pkwy Ste D, Burlington, NC 27215-6749 | 2020-02-17 |
| 1831658509 | Surecare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 236 N Mebane St Ste 124, Burlington, NC 27217-3900 | 2019-03-13 |
| 1417462888 | Integrity Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 236 N Mebane St Ste 121, Burlington, NC 27217-3900 | 2017-12-07 |
| 1992223853 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2294 N Church St, Burlington, NC 27217-3111 | 2017-08-31 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1114453289 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2495 Corporation Pkwy, Burlington, NC 27215-9863 | 2017-05-10 |
| 1831550805 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 3344 S Church St, Burlington, NC 27215-9150 | 2016-03-17 |
| 1720454531 | Regional Home Care Inc | Durable Medical Equipment & Medical Supplies | 149 Middlesex Tpke, Burlington, MA 01803-4425 | 2015-08-16 |
| 1396148243 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 505 Housatonic St, Burlington, KS 66839-1712 | 2014-10-07 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on CLOVER FAMILY CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.