Canam Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NONE NEEDED Issued in MN

Legal business name

CANAM CORP

Practice address

W12303 Martindale LN
Bruce, WI 54819-9511

Phone

(715) 868-0244

Fax

(715) 868-0245

NPI assigned

Jun 4, 2009

Last updated

Jun 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Howard Robert Martindale

Title

Owner

Phone

(715) 868-0244

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1922234996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W12303 MARTINDALE LN",
            "city": "BRUCE",
            "state": "WI",
            "postal_code": "548199511",
            "telephone_number": "715-868-0244",
            "fax_number": "715-868-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W12303 MARTINDALE LN",
            "city": "BRUCE",
            "state": "WI",
            "postal_code": "548199511",
            "telephone_number": "715-868-0244",
            "fax_number": "715-868-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "MARTINDALE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-868-0244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "NONE NEEDED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "49-80062",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "170523",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce School District
• Michelle Rae Gunn, CERTIFIED DIETITIAN
• Linda Jane Nitek
• David K. Olsen, D.D.S.
• Jennifer Lynn Olufson
• Debbie Irene Scapardine, RN

• Durable Medical Equipment & Medical Supplies in Bruce, WI
• Providers in Bruce, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.