Clark Home Respiratory Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLARK HOME RESPIRATORY SUPPLY INC

Practice address

168 Jefferson HTS
Catskill, NY 12414-1215

Phone

(518) 943-3456

Fax

(518) 943-2053

NPI assigned

Jul 12, 2005

Last updated

Mar 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James L Clark Jr.

Title

President

Phone

(518) 943-3456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1316945553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 JEFFERSON HTS",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141215",
            "telephone_number": "518-943-3456",
            "fax_number": "518-943-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 JEFFERSON HTS",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141215",
            "telephone_number": "518-943-3456",
            "fax_number": "518-943-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK HOME RESPIRATORY SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-943-3456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catskill Family Institute - Counseling Center
• Catskill Mountain Chiropractic, PC
• Catskill School
• Laura Hutchins Churchill, FNP
• Laura L Cina
• Elizabeth Cole, RN
• Columbia Memorial Hospital
• Columbia Memorial Hospital
• Columbia Memorial Hospital
• Columbia Memorial Hospital

• Durable Medical Equipment & Medical Supplies in Catskill, NY
• Providers in Catskill, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.