Clarke a. McKinney

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLARKE A. MCKINNEY

Practice address

4711 Clark Ave
White Bear Lake, MN 55110-3268

Phone

(651) 429-6323

Fax

(651) 426-2046

NPI assigned

Jul 12, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clarke A McKinney

Title

Owner

Phone

(651) 429-6323

Specialties & licenses 1

Addresses

Other names 1

• Freedom Cars Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003814161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 CLARK AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103268",
            "telephone_number": "651-429-6323",
            "fax_number": "651-426-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 CLARK AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103268",
            "telephone_number": "651-429-6323",
            "fax_number": "651-426-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKE A. MCKINNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "CLARKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-429-6323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Cars",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Cherek, LICSW
• Kelly Ciapetta, LPCC
• Nicole Teresa Ciavarella
• City of White Bear Lake MN
• City White Bear Lake
• Clear Way Counseling, LLC
• Abigail Clinch
• Shelby M Coffey
• Stephanie Colestock, RN
• Comforts of Home Care, LLC

• Durable Medical Equipment & Medical Supplies in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.