NPIMap

Organization Active NPI

Camden Medical Supply Inc

Doing business as Rotech

  • Durable Medical Equipment & Medical Supplies
  • Springdale, AR
National Provider Identifier
1902886104
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAMDEN MEDICAL SUPPLY INC
Doing business as
Rotech
Practice address
5322 Bleaux Ave
Suite C
Springdale, AR 72762-0731
Phone
(479) 872-1488
Fax
(479) 751-6630
NPI assigned
Jan 23, 2006
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ROTECH HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Mrs. Robin L Menchen
Title
Chief Executive Officer
Phone
(407) 822-4600

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

5322 Bleaux Ave
Suite C
Springdale, AR 72762-0731

Mailing address

PO Box 27968
Salt Lake City, UT 84127-0968
Phone (407) 246-1226

Other identifiers 4

IdentifierTypeStateIssuer
1902886104MedicaidMO
230575737MedicaidAR
130887716MedicaidAR
100809690OMedicaidOK

Other names 1

  • ROTECH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930089972 AR DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 4688793136 Practice locations: Springdale, AR

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rotech5322 Bleaux Ave, Springdale, AR 72762-0729(479) 872-1488 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Duracare12 organizations share this tax ID, including this one
Part of
Rotech Healthcare Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

521 S 7th St
Arkadelphia, AR 71923
Phone (870) 230-1518

630 Cash Rd SW
Camden, AR 71701
Phone (870) 836-4681

903 S Rogers St
Clarksville, AR 72830
Phone (479) 754-2426

8501 Highway 271 S
Ste C
Fort Smith, AR 72908
Phone (479) 646-0001

818 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 218-1722

3054 Highway 90 W
Pocahontas, AR 72455
Phone (870) 892-9064

2912 Hawkins Dr
Searcy, AR 72143
Phone (501) 268-7102

5322 Bleaux Ave
Ste C
Springdale, AR 72762
Phone (479) 872-1488

705 N Commerce St
Ardmore, OK 73401
Phone (580) 223-6188

611 W Maine Ave
Ste B
Enid, OK 73701
Phone (580) 233-5426

3301 SW Summit Ave
Ste 1A
Lawton, OK 73505
Phone (580) 252-6970

209 W Main St
Purcell, OK 73080
Phone (405) 527-5500

12206 E 51st St
Ste 100
Tulsa, OK 74146
Phone (918) 307-1359

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1902886104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27968",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270968",
            "telephone_number": "407-246-1226",
            "fax_number": "407-648-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5322 BLEAUX AVE",
            "address_2": "SUITE C",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620731",
            "telephone_number": "479-872-1488",
            "fax_number": "479-751-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN MEDICAL SUPPLY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROTECH HEALTHCARE INC",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "MENCHEN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "407-822-4600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902886104",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230575737",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130887716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100809690O",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROTECH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ROTECH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.