Clarendon Outpost

LBN: Clarendon Outpost
Clarendon Outpost is an health care organization with primary practice located at 619 W 2Nd St , Clarendon TX 79226. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care 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 St Clarendon TX 79226
Phone: (806) 874-5202
Fax: (806) 874-5204
Website:
Map and Directions
Authorized official contact:
Name: Bivens, Elmonette E
Phone: (806) 874-5202

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Oxygen Equipment & Supplies 332BX2000X
Suppliers / Long Term Care Pharmacy 3336L0003X 16767 Texas

Profile Details

NPI number 1982122115
LBN Legal business name Clarendon Outpost
DBA Doing business as
Authorized official Bivens, Elmonette E
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2017
Last updated Jun 16th, 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 1982122115 NPPES
Texas MEDICAID 144483
Texas MEDICAID 010761701
Texas MEDICAID 1104530001
Texas MEDICAID 014359601

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