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
Fax: (806) 874-5204
Website:
Authorized official contact:
Name: Bivens, Elmonette E RPH

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205833118 NPPES
Texas MEDICAID 010761701
Texas MEDICAID 014359601
Texas MEDICAID 144483

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