Camden Medical Supply Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Pocahontas, AR
NPI 1689654378 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1689654378
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CAMDEN MEDICAL SUPPLY INC
- Practice address
- 3054 Highway 90 W
Pocahontas, AR 72455-4304 - Phone
- (870) 892-9064
- Fax
- (870) 248-0090
- NPI assigned
- Jan 19, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ROTECH HEALTHCARE INC
Authorized official
- Name
- Mrs. Robin L Menchen
- Title
- Chief Executive Officer
- Phone
- (407) 822-4600
Other NPIs with the same Medicare PAC ID 11
Corporate family (same tax ID) 11
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Health-Way Medical Supply |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Ins… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930052328 | AR | DME Supplier - Medical Supply Company |
4688793136 | Practice locations: Pocahontas, AR |
National Provider Directory
- Tax ID family
- Duracare
- Part of
- Rotech Healthcare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
3054 Highway 90 W
Pocahontas, AR 72455-4304
Mailing address
PO Box 27968
Salt Lake City, UT 84127-0968
Phone (407) 246-1226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136481716 | Medicaid | AR | |
| 230276737 | Medicaid | AR | |
| 626324305 | Medicaid | MO |
Other names
- HEALTH-WAY MEDICAL SUPPLY
Other providers in Pocahontas, AR
- Eric Busby
- Samantha Butler
- Brittany Nicole Byrd II
- Hannah Cagle
- Rachel Calk
- Benjamin Carr
- Dillinger Carr
- Patrick W Carroll
- Laura Carter
- Bridgette Casillas
All providers in Pocahontas, AR · Durable Medical Equipment & Medical Supplies in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.