CLEARWATER HEALTH RESOURCES INC (NPI# 1689831505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689831505 |
| Entity Type | Organization |
| Organization Name | CLEARWATER HEALTH RESOURCES INC |
| Other Organization Name | MEDICAL CENTER PHARMACY |
| Practice Address |
Rr 4 Box 4515 Piedmont MO 63957-9417 |
| Mailing Address |
Po Box 278 Piedmont MO 63957-0278 |
| Practice Telephone | 5732234235 |
| Practice Fax Number | 5732234184 |
| Mailing Telephone | 5732234235 |
| Mailing Fax Number | 5732234184 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2009-08-06 |
| Authorized Official Name | JULIA GRONSKI (OWNER) |
| Authorized Official Telephone | 5732234235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 620118604 | 05 |
| Other Name | Type Code |
|---|---|
| MEDICAL CENTER PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376524959 | Clearwater Health Resources Inc | Pharmacy | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2005-11-09 |
| Street Address |
RR 4 BOX 4515 |
| City | PIEDMONT |
| State | MO |
| Zip Code | 63957-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992792329 | David Andrew Gayle | Family Medicine | Rr 4 Box 4515, Piedmont, MO 63957 | 2005-09-30 |
| 1750702916 | Shana Winchester | Registered Nurse | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2013-12-13 |
| 1912154998 | Rhonda K Adams | Nurse Practitioner | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2008-08-21 |
| 1437372315 | Robert Gayle | Pharmacist | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2007-04-10 |
| 1861615056 | James Richard Gronski | Pharmacist | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2007-04-10 |
| 1083775860 | Wayne Medical Center LLC | Clinic/Center | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2006-12-13 |
| 1558305789 | Samuel W Ferreri | Family Medicine | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2006-06-16 |
| 1932148558 | Mary Hutchison | Social Worker | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2006-06-06 |
| 1932185691 | Kimberly A Haley | Nurse Practitioner | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2005-12-15 |
| 1679558530 | Tina R Mccorkell | Nurse Practitioner | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2005-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1700432838 | April Dawn Gibson | Behavior Technician | 306 North 2nd Street, Piedmont, MO 63957 | 2019-08-14 |
| 1457844748 | Town and Country Super Market Inc | Pharmacy | #7 Hal's Plaza, Piedmont, MO 63957 | 2018-06-11 |
| 1528588522 | Ashley Dawn Janecek | Case Manager/Care Coordinator | 306 N Second St, Piedmont, MO 63957 | 2017-06-21 |
| 1649587031 | Joseph Michael Toney | Family Medicine | #1 Hals Plaza Drive, Piedmont, MO 63957 | 2010-09-07 |
| 1184825770 | Clearwater Ambulance District | Ambulance | 117 B, Piedmont, MO 63957 | 2007-05-30 |
| 1629129457 | Roy Eugene Winters | Pharmacist | #1hals Plaza, Piedmont, MO 63957 | 2007-01-16 |
| 1386655322 | Toneys Drug & Wellness, LLC | Pharmacy | 1 Hal's Plaza Drive, Piedmont, MO 63957 | 2006-08-11 |
| 1407880099 | Michael P Toney | Family Medicine | #1 Hal's Plaza Drive, Piedmont, MO 63957 | 2006-07-10 |
| 1972549053 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | #1 Hal's Plaza, Piedmont, MO 63957 | 2006-06-20 |
| Find all providers in zip 63957 | ||||
| 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 |
|---|---|---|---|---|
| 1679672877 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 915 Anderson Street, Piedmont, SC 29673-1418 | 2006-09-22 |
| 1396848883 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3460 Highway 153, Piedmont, SC 29673-9405 | 2006-09-07 |
| 1386668978 | Value Medical Southeast, LLC | Durable Medical Equipment & Medical Supplies | 105 Kiowa Ln, Piedmont, SC 29673-6751 | 2006-07-27 |
| 1093769085 | Louisiana Oxygen Service | Durable Medical Equipment & Medical Supplies | 100f Business Pkwy, Piedmont, SC 29673-6707 | 2006-05-22 |
| 1861038994 | Parkland Pharmacy Development LLC | Durable Medical Equipment & Medical Supplies | 420 Piedmont Ave, Piedmont, MO 63957-1024 | 2019-11-25 |
| 1598282030 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3455 Highway 153, Piedmont, SC 29673-7725 | 2017-08-25 |
| 1144744848 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 915 Anderson St, Piedmont, SC 29673-1418 | 2017-08-03 |
| 1497801245 | Value Medical, Inc | Durable Medical Equipment & Medical Supplies | 107 Kiowa Ln, Piedmont, SC 29673-6751 | 2007-01-26 |
| 1417056623 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 3455 Highway 153, Piedmont, SC 29673-7725 | 2006-09-22 |
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|---|---|---|---|---|
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| 1033719323 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 | 2020-10-27 |
| 1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1194339515 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4240 Blue Ridge Blvd Ste 100, Kansas City, MO 64133-1703 | 2020-09-02 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1124630546 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1840 N Commerce Dr, Nixa, MO 65714-7603 | 2020-08-18 |
| 1497373989 | Taylor Made Walk In Tubs LLC | Durable Medical Equipment & Medical Supplies | 420 Nichols Rd, Kansas City, MO 64112-2005 | 2020-07-10 |
| 1487277687 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 1401 Universal Ave, Kansas City, MO 64120-2139 | 2020-05-21 |
| 1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
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| 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.