William G. Craddock in Madison - Customized Equipment
William G. Craddock - NPI 1477660967
William G. Craddock is a Customized Equipment in Madison, Tennessee. William G. Craddock practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for William G. Craddock is 1477660967. The last update date is 2012-01-24.
William G. Craddock's current location address is 104 Garner Ave, Madison, Tennessee. You can contact this provider via phone number 6156120087 and fax number 6156120587. The mailing address for William G. Craddock is 104 Garner Ave, Madison, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | William G. Craddock |
|---|---|
| Address | 104 Garner Ave, Madison, Tennessee |
| Phone Number | 6156120087 |
| Fax Number | 6156120587 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Clinard L. Pete |
| Credentials | ATS, CRTS |
| Telephone Number | 6156120087 |
NPI Number Detail
| NPI Number | 1477660967 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2012-01-24 |
Provider Mailing Address Detail
| Address | 104 Garner Ave |
|---|---|
| City | Madison |
| State | Tennessee (TN) |
| Post Code | 371152830 |
| Phone Number | 6156120087 |
| Fax Number | 6156120587 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | 650 |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2179198 | TN | AETNA HMO | |
| 3035094 | TN | -- | |
| 9027403600 | KY | -- | |
| 1452195 | TN | -- | |
| 55770104 | TN | AETNA | |
| 7100005360 | KY | -- | |
| 3035094 | TN | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to William G. Craddock by the Centers for Medicare & Medicaid Services?
The William G. Craddock has been issued the NPI (National Provider Identifier) 1477660967 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the William G. Craddock located?
The William G. Craddock is located at 104 Garner Ave, Madison, TN 371152830.
What is William G. Craddock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William G. Craddock's specialized field of practice is Customized Equipment, and the corresponding taxonomy code that categorizes this area of specialization is 332Bc3200X.
On what date did William G. Craddock receive its 1477660967 assignment from the Centers for Medicare & Medicaid Services?
The William G. Craddock was assigned its 1477660967 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding William G. Craddock, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to William G. Craddock, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-24.