Active NPI
CLCD Enterprise Inc
- Durable Medical Equipment & Medical Supplies
- Waldorf, MD
National Provider Identifier
1912156282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 09109515
- Legal business name
- CLCD ENTERPRISE INC
- Doing business as
- Truck'n America
- Practice address
- 2130 Old Washington Rd
Waldorf, MD 20601-3179 - Phone
- (301) 932-4510
- Fax
- (301) 932-4521
- NPI assigned
- Sep 11, 2008
- 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
- Charles Morrison
- Title
- Ceo
- Phone
- (301) 932-4510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 09109515 | MD | Primary |
Addresses
Primary practice location
2130 Old Washington Rd
Waldorf, MD 20601-3179
Mailing address
2130 Old Washington Rd
Waldorf, MD 20601-3179
Phone (301) 932-4510
Other names 1
- Truck'n America
National Provider Directory
National Provider DirectoryLocations
2130 Old Washington Rd
Waldorf, MD 20601
Phone (301) 932-4510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1912156282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 OLD WASHINGTON RD",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013179",
"telephone_number": "301-932-4510",
"fax_number": "301-932-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 OLD WASHINGTON RD",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013179",
"telephone_number": "301-932-4510",
"fax_number": "301-932-4521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLCD ENTERPRISE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-932-4510"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "09109515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Truck'n America",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.