Organization Active NPI

Clare Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Portsmouth, VA
National Provider Identifier
1437169935
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLARE MEDICAL INC
Practice address
3220 High St
Portsmouth, VA 23707-3318
Phone
(757) 397-4560
Fax
(757) 397-0277
NPI assigned
Aug 8, 2006
Last updated
Oct 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Mrs. Tanisha Renee Johnson
Title
Alternate Channels MGR.
Phone
(757) 221-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3220 High St
Portsmouth, VA 23707-3318

Mailing address

3220 High St
Portsmouth, VA 23707-3318
Phone (757) 397-4560

Other identifiers 1

IdentifierTypeStateIssuer
009135707MedicaidVA

National Provider Directory

National Provider Directory

Locations

3220 High St
Portsmouth, VA 23707
Phone (434) 202-4477

1592 Penniman Rd
Ste F
Williamsburg, VA 23185

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1437169935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073318",
            "telephone_number": "757-397-4560",
            "fax_number": "757-397-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073318",
            "telephone_number": "757-397-4560",
            "fax_number": "757-397-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "ALTERNATE CHANNELS MGR.",
        "authorized_official_telephone_number": "757-221-0900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009135707",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.