Clay Home Medical

LBN: Clay Home Medical Inc
Clay Home Medical is an health care organization with primary practice located at 3333 S Crater Rd Ste 5 , Petersburg VA 23805. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Clay Home Medical Inc can be contacted via phone (804) 861-1606, or through Griggs, Stephen via phone (407) 206-0040.

Contact Information

Primary practice address
3333 S Crater Rd Ste 5 Petersburg VA 23805
Fax: (804) 862-1254
Website:
Authorized official contact:
Name: Griggs, Stephen

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X Virginia

Profile Details

NPI number 1497754568
LBN Legal business name Clay Home Medical Inc
DBA Doing business as Clay Home Medical
Authorized official Griggs, Stephen
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 20th, 2005
Last updated Jun 8th, 2020 - about 4 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 1497754568 NPPES
Virginia Other ANTHEM BC/BS DME PROVIDER
Virginia MEDICAID 009103341 DME PROVIDER

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