Thatcher Brook Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THATCHER BROOK MEDICAL SUPPLY INC.

Practice address

1795 Chelemes Way
Clearfield, UT 84015-6298

Phone

(801) 546-4368

Fax

(801) 546-1053

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Deven Pettit

Title

President

Phone

(801) 546-4368

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073706487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 CHELEMES WAY",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156298",
            "telephone_number": "801-546-4638",
            "fax_number": "801-546-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 CHELEMES WAY",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156298",
            "telephone_number": "801-546-4368",
            "fax_number": "801-546-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THATCHER BROOK MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PETTIT",
        "authorized_official_first_name": "DEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-546-4368"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zack Taylor
• Bernice Tenort, MSWI
• Kimberly Terry
• Thatcher Brook Hospice of Clearfield, LLC
• Thatcher Brook Hospice, LLC
• Thatcher Brook Outpatient Therapy LLC
• Thatcher Brook Rehabilitation and Care Center LLC
• The Cove
• The Oral & Facial Surgery Center
• Shaden Thesen

• Durable Medical Equipment & Medical Supplies in Clearfield, UT
• Providers in Clearfield, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.