Active NPI
Clare Medical Inc
- Durable Medical Equipment & Medical Supplies
- Portsmouth, VA
National Provider Identifier
1437169935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009135707 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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
- City of Portsmouth (Portsmouth Fire Rescue & Emergency Services)
- CJ Counseling and Consulting Services, LLC
- Cjab & Cjab LLC (CJAB Family Services)
- Christopher D. Clagett, M.D.
- Stephanie Colleen Clapper, R.D.
- Clark Quality Care LLC
- Courtney Morgan Clark, LCSW
- Matilda Anne Clark, RPH.
- Susan Christine Clark, MD
- Troy Clark, DO
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.