COLLOM & CARNEY CLINIC (NPI# 1811979586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811979586 |
| Entity Type | Organization |
| Organization Name | COLLOM & CARNEY CLINIC |
| Other Organization Name | COLLOM & CARNEY CLINIC - NEW BOSTON |
| Practice Address |
128 N Ellis St New Boston TX 75570-2904 |
| Mailing Address |
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 |
| Practice Telephone | 9036281104 |
| Mailing Telephone | 9036143000 |
| Mailing Fax Number | 9036143525 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2009-03-03 |
| Authorized Official Name | REX THOMAS SIMMONS II (CEO ADMINISTRATOR) |
| Authorized Official Telephone | 9036143280 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLLOM & CARNEY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Collom & Carney Clinic - New Boston | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262732 | Collom & Carney Clinic | Family Medicine | 1440 W 1st N, Prescott, AR 71853 | 2005-11-16 |
| 1962829747 | Collom & Carney Clinic | Anesthesiology | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2014-03-18 |
| 1437455565 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2011-02-08 |
| 1295929743 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2007-08-28 |
| 1881887891 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 1440 W 1st St N, Prescott, AR 71857-3339 | 2007-08-22 |
| 1750364899 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-22 |
| 1114909934 | Collom & Carney Clinic | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-17 |
| 1720060494 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 815 N Kings Hwy, Wake Village, TX 75501-5700 | 2005-11-17 |
| 1114909223 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 5402 Summerhill Rd, Texarkana, TX 75503-4607 | 2005-11-15 |
| 1548241920 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 2931 Richmond Rd, Texarkana, TX 75503 | 2005-11-11 |
| Street Address |
128 N ELLIS ST |
| City | NEW BOSTON |
| State | TX |
| Zip Code | 75570-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616080 | Paul A Smith | Nurse Practitioner | 128 N Ellis St, New Boston, TX 75570-2904 | 2005-08-10 |
| 1700100104 | Collom & Carney Clinic Association | Family Medicine | 128 N Ellis St, New Boston, TX 75570-2904 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350544 | Thomas Miller Coleman IIi | Pharmacist | 409 Ne Front Street, New Boston, TX 75570 | 2020-06-12 |
| 1134630908 | M & B New Boston, LLC | Assisted Living Facility | 1 Autumn Circle, New Boston, TX 75570 | 2017-10-19 |
| 1932578200 | Jamie Linda Martin | Nurse Practitioner | 3899 Tx Hwy-98, New Boston, TX 75570 | 2015-09-17 |
| 1306225073 | Helping Hands Sitter Service, LLC | Technician | 2650 U.S. State Hwy 82 W, New Boston, TX 75570 | 2015-05-27 |
| 1063821825 | Edwin R Sewell | Dentist | 3389 State Hwy 98, New Boston, TX 75570 | 2014-08-06 |
| 1710038708 | Malta Independent School District | Local Education Agency (LEA) | 6178 W. Hwy 82, New Boston, TX 75570 | 2007-01-16 |
| 1316003155 | Jeffrey P Atkinson | Dentist | 119 N Ellis St, New Boston, TX 75570 | 2006-12-28 |
| 1215092325 | Rx Club of America Pllc | Pharmacy | 10 Chapel Lane, New Boston, TX 75570 | 2006-12-27 |
| 1609940436 | Bobby Royce English | Chiropractor | 308 C Hwy 82 West New Boston Chiropractic Center, New Boston, TX 75570 | 2006-11-20 |
| 1124104179 | Danny K Elkins | Pharmacist | 134 Hwy 82 West, New Boston, TX 75570 | 2006-10-31 |
| Find all providers in zip 75570 | ||||
| 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 |
|---|---|---|---|---|
| 1700958196 | Genesis Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 4132 Gallia St, New Boston, OH 45662-5511 | 2006-11-14 |
| 1679688618 | Rx Plus, Inc | Durable Medical Equipment & Medical Supplies | 3520 Rhodes Ave, New Boston, OH 45662-4975 | 2006-08-20 |
| 1821015066 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 800 James Bowie Dr, New Boston, TX 75570-2334 | 2006-07-16 |
| 1417143843 | Blackburns Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3520 Rhodes Ave, New Boston, OH 45662-4975 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467929 | Rgc Dme Repair Center | Durable Medical Equipment & Medical Supplies | 517 N. 10th Street, Mcallen, TX 78501-4511 | 2020-11-03 |
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1285234468 | Slow Wave, Inc. | Durable Medical Equipment & Medical Supplies | 26100 Countryside Dr, Spicewood, TX 78669-1362 | 2020-10-28 |
| 1639779978 | Med9x Health Solutions Inc | Durable Medical Equipment & Medical Supplies | 808 S.shary Rd, Ste 5, #405, Mission, TX 78572-8569 | 2020-10-27 |
| 1740889005 | Clinical Tissue Technologies LLC | Durable Medical Equipment & Medical Supplies | 2921 Brown Trl # 101, Bedford, TX 76021-4144 | 2020-10-19 |
| 1245838960 | On Call Medical Services, LLC. | Durable Medical Equipment & Medical Supplies | 537 E Frontage Rd Ste A, Alamo, TX 78516-2336 | 2020-10-14 |
| 1396342143 | Bella Vida Dme, LLC. | Durable Medical Equipment & Medical Supplies | 2604 N Raul Longoria Rd Ste 104, San Juan, TX 78589-4212 | 2020-10-05 |
| 1194322099 | 3j Capital, LLC | Durable Medical Equipment & Medical Supplies | 11805 Interstate 27, Amarillo, TX 79119-3901 | 2020-10-04 |
| 1235746413 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 22420 Ih 35, Ste 203, Kyle, TX 78640-2656 | 2020-09-30 |
| 1205443371 | Bridgewater Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 603 Munger Ave Ste 1001011, Dallas, TX 75202-1839 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | NEW BOSTON |
| Zip Code | 75570 |
Please comment or provide details below to improve the information on COLLOM & CARNEY CLINIC.
| 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.