Organization Active NPI

Clearly Superior, Inc

  • Nursing Facility Supplies (DME)
  • Superior, WI
National Provider Identifier
1457517351
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
CLEARLY SUPERIOR, INC
Practice address
6120 Tower Ave
Superior, WI 54880-5900
Phone
(715) 392-9932
Fax
(715) 392-9931
NPI assigned
Jul 31, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mr. Douglas A Stetzer
Title
President
Phone
(715) 392-9932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X NU Primary

Addresses

Primary practice location

6120 Tower Ave
Superior, WI 54880-5900

Mailing address

6120 Tower Ave
Superior, WI 54880-5900
Phone (715) 392-9932

National Provider Directory

National Provider Directory

Locations

6120 Tower Ave
Superior, WI 54880
Phone (715) 392-9932

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1457517351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805900",
            "telephone_number": "715-392-9932",
            "fax_number": "715-392-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 TOWER AVE",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548805900",
            "telephone_number": "715-392-9932",
            "fax_number": "715-392-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLY SUPERIOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "STETZER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-392-9932",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Superior, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.