Clear Stream Ltc, Llc in Poplar Bluff - Durable Medical Equipment & Medical Supplies
Clear Stream Ltc, Llc - NPI 1548464415
Clear Stream Ltc, Llc is a Durable Medical Equipment & Medical Supplies in Poplar Bluff, Missouri. Clear Stream Ltc, Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Clear Stream Ltc, Llc is 1548464415. The last update date is 2023-03-07.
Clear Stream Ltc, Llc's current location address is 2210 Barron Rd Ste B-012, Poplar Bluff, Missouri. You can contact this provider via phone number 5736864556 and fax number 5736864529. The mailing address for Clear Stream Ltc, Llc is 2210 Barron Rd Ste B-012, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clear Stream Ltc, Llc |
|---|---|
| Address | 2210 Barron Rd Ste B-012, Poplar Bluff, Missouri |
| Phone Number | 5736864556 |
| Fax Number | 5736864529 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kleinbeck Taylor Mark |
| Credentials | RPH |
| Telephone Number | 5736864556 |
NPI Number Detail
| NPI Number | 1548464415 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2210 Barron Rd Ste B-012 |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639011908 |
| Phone Number | 5736864556 |
| Fax Number | 5736864529 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 2007013239 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K90FQ0Y00 | HIN | ||
| 2007013239 | MO | PHARMACY PERMIT |
Post Comment/ Review Below
What is the Clear Stream Ltc, Llc's unique identification number?
The Clear Stream Ltc, Llc has been assigned the NPI (National Provider Identifier) Number 1548464415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Clear Stream Ltc, Llc is physically located?
The Clear Stream Ltc, Llc is situated at the following address: 2210 Barron Rd Ste B-012, Poplar Bluff, MO 639011908.
What is Clear Stream Ltc, Llc's area of expertise and its corresponding taxonomy classification?
The Clear Stream Ltc, Llc's field of specialization is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Clear Stream Ltc, Llc receive its 1548464415 assignment from the Centers for Medicare & Medicaid Services?
The Clear Stream Ltc, Llc was assigned its 1548464415 by the Centers for Medicare & Medicaid Services on 2007-06-13.
As of what date were the Clear Stream Ltc, Llc's details last updated?
The information pertaining to the Clear Stream Ltc, Llc, including its address, specialty, and other details, was most recently updated on 2023-03-07.
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