Clarendon Outpost
LBN: Clarendon Outpost
Clarendon Outpost is an health care organization with primary practice located at 619 W 2Nd , Clarendon TX 79226-0927. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Clarendon Outpost can be contacted via phone (806) 874-5202, or through Bivens, Elmonette E via phone (806) 874-5202.
Contact Information
Primary practice address
619 W 2Nd
Clarendon TX 79226-0927
Phone: (806) 874-5202
Fax: (806) 874-5204
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Oxygen Equipment & Supplies | 332BX2000X | ||
Suppliers / Pharmacy | 333600000X | 16767 | Texas |
Profile Details
NPI number | 1205833118 |
---|---|
LBN Legal business name | Clarendon Outpost |
DBA Doing business as | |
Authorized official | Bivens, Elmonette E RPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Jun 11th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205833118 | NPPES |
Texas | MEDICAID | 010761701 | |
Texas | MEDICAID | 014359601 | |
Texas | MEDICAID | 144483 |
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