CAMDEN MEDICAL SUPPLY INC (NPI# 1821078130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821078130 |
Entity Type | Organization |
Organization Name | CAMDEN MEDICAL SUPPLY INC |
Other Organization Name | ROTECH |
Practice Address |
1340 Nabholz Ave Unit 1 Conway AR 72034-7034 |
Mailing Address |
Po Box 27968 Salt Lake City UT 84127-0968 |
Practice Telephone | 5013290855 |
Practice Fax Number | 5014509373 |
Mailing Telephone | 4072461226 |
Mailing Fax Number | 4076482297 |
Enumeration Date | 2006-01-20 |
Last Update Date | 2020-03-20 |
Authorized Official Name | MRS. ROBIN L MENCHEN (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 4078224600 |
Is Organization Subpart | Y |
Parent Organization Name | ROTECH HEALTHCARE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 222411737 | 05 | |
AR | 128366716 | 05 |
Other Name | Type Code |
---|---|
ROTECH | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720058829 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 12206 E 51st St, Suite 100, Tulsa, OK 74146-6231 | 2006-01-23 |
1902886104 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 5322 Bleaux Ave, Suite C, Springdale, AR 72762-0731 | 2006-01-23 |
1639149743 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 611b W Maine Ave, Enid, OK 73701-5541 | 2006-01-23 |
1275503369 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 705 N Commerce St, Ardmore, OK 73401-3914 | 2006-01-23 |
1437129533 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3301 Sw Summit Ave, Suite 1a, Lawton, OK 73505-7950 | 2006-01-23 |
1124098223 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 212 S Jefferson Ave, Elk City, OK 73644-5738 | 2006-01-23 |
1326018417 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1225 E Carl Albert Pkwy, Mcalester, OK 74501-5104 | 2006-01-23 |
1356321673 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 8501 Hwy 271 S, Suite C, Fort Smith, AR 72908-8863 | 2006-01-20 |
1487634184 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 141 Blue Dr, Searcy, AR 72143-8360 | 2006-01-19 |
1689654378 | Camden Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 3054 Highway 90 W, Pocahontas, AR 72455-4304 | 2006-01-19 |
Street Address |
1340 NABHOLZ AVE UNIT 1 |
City | CONWAY |
State | AR |
Zip Code | 72034-7034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
Find all providers in zip 72034 |
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 |
---|---|---|---|---|
1073088068 | Arkansas Surgical Hospital, LLC | Durable Medical Equipment & Medical Supplies | 605 Dave Ward Dr Ste 104, Conway, AR 72034-7138 | 2018-10-05 |
1346765401 | Sleep Management Services Dme | Durable Medical Equipment & Medical Supplies | 5 Medical Ln Ste Candd, Conway, AR 72034-4912 | 2017-08-10 |
1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
1730528787 | Mother Knows Best Maternity and Recuperative Wellness LLC | Durable Medical Equipment & Medical Supplies | 367 Modock Hill Rd, Conway, NH 03818 | 2013-06-21 |
1164763157 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2550 Prince St, Conway, AR 72034-3756 | 2013-03-15 |
1528331576 | Joint Technology Inc. | Durable Medical Equipment & Medical Supplies | 825 Parkway St, Execuplex Office Center Suite #7, Conway, AR 72034-5342 | 2012-02-21 |
1275868176 | Carolina Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3152 W Highway 501, Conway, SC 29526-4411 | 2009-10-09 |
1396978524 | Causey Medical Supply | Durable Medical Equipment & Medical Supplies | 3892 2nd Loop Rd, Conway, SC 29526-4602 | 2009-09-04 |
1396988291 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 151 Myrtle Ridge Dr, Conway, SC 29526-2702 | 2009-04-08 |
Find all providers in CONWAY |
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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.