Carelink Extended LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CARELINK EXTENDED LLC

Practice address

206 W Washington St
Hayti, MO 63851-1520

Phone

(573) 359-6242

Fax

(877) 415-5492

NPI assigned

Sep 18, 2015

Last updated

Jul 21, 2022By 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

Candace Teeter

Title

Director

Phone

(660) 864-6208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952770083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638510522",
            "telephone_number": "573-717-6242",
            "fax_number": "877-415-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W WASHINGTON ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511520",
            "telephone_number": "573-359-6242",
            "fax_number": "877-415-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK EXTENDED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TEETER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "660-864-6208"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.