Provider Demographics
NPI:1235264433
Name:CARE MED EQUIP
Entity Type:Organization
Organization Name:CARE MED EQUIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FALKENRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-762-3053
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:
Mailing Address - City:NEWBURG
Mailing Address - State:MO
Mailing Address - Zip Code:65550-0332
Mailing Address - Country:US
Mailing Address - Phone:573-762-3053
Mailing Address - Fax:573-762-3052
Practice Address - Street 1:13181 CO RD 7570
Practice Address - Street 2:
Practice Address - City:NEWBURG
Practice Address - State:MO
Practice Address - Zip Code:65550
Practice Address - Country:US
Practice Address - Phone:573-762-3053
Practice Address - Fax:573-762-3052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1036550001Medicare NSC