Clyde Medical Suppliers LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLYDE MEDICAL SUPPLIERS LLC

Practice address

2205 S Perryville Rd
Rockford, IL 61108-8209

Phone

(608) 581-5711

NPI assigned

Mar 24, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Clyde Harris Jr.

Title

Ceo

Phone

(608) 581-5711

Specialties & licenses 1

Addresses

Other names 1

• clyde medical suppliers Doing business as

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1679374565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 S PERRYVILLE RD # 464",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611088209",
            "telephone_number": "608-581-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 S PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611088209",
            "telephone_number": "608-581-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDE MEDICAL SUPPLIERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-581-5711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "clyde medical suppliers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Cleary, APRN
• Michelle Lee Cleveland, NP
• Clifton Health Systems LLC
• Clifton Health Systems, LLC
• Micah Lynn Ann Clutter
• Aaron G. Coates, MD
• Maria Cobio, PHARM.D.
• Kai Codner, DDS
• Maria E Coffman, PT
• Timothy P Coggin, M.D.

• Durable Medical Equipment & Medical Supplies in Rockford, IL
• Providers in Rockford, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.