Patricia Rose Clampett

Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Thomaston, CT

NPI 1386790426 · NPPES record last updated Feb 12, 2010

Key facts

NPI
1386790426
Entity type
Individual (NPI type 1)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Practice address
120 S Main St
Thomaston, CT 06787-1746
Phone
(860) 283-6248
Fax
(860) 283-6247
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Medical Equipment, LLC Durable Medical Equipment & Medical Supplies Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X
Durable Medical Equipment & Medical Supplies 332B00000X Yes
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

120 S Main St
Thomaston, CT 06787-1746

Mailing address

120 S Main St
Thomaston, CT 06787-1746
Phone (860) 283-6248

Other identifiers

IdentifierTypeStateIssuer
004266658MedicaidCT

Other names

  • Lighthouse Medical Equipment LLC Other name

Other providers in Thomaston, CT

All providers in Thomaston, CT · Durable Medical Equipment & Medical Supplies in Connecticut

Sources for this page

Verify at the official NPI Registry.