Clover'S Mastectomy And Medical Supply

LBN: Clover Family Corp
Clover'S Mastectomy And Medical Supply is an health care organization with primary practice located at 1040 S Church St , Burlington NC 27215-5046. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Clover Family Corp can be contacted via phone (336) 222-8052, or through Alexander, Jason via phone (919) 812-4557.

Contact Information

Primary practice address
1040 S Church St Burlington NC 27215-5046
Fax: (336) 222-8091
Website:
Authorized official contact:
Name: Alexander, Jason

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 00131 North Carolina
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1306825005
LBN Legal business name Clover Family Corp
DBA Doing business as Clover'S Mastectomy And Medical Supply
Authorized official Alexander, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2006
Last updated Dec 19th, 2019 - about 5 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 1306825005 NPPES
North Carolina Other 30205 CHILD PHONE NUMBER

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