Provider Demographics
NPI:1346224110
Name:JAMES E PARKER
Entity Type:Organization
Organization Name:JAMES E PARKER
Other - Org Name:HEALTH CARE SUPPLIES AND EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-346-5556
Mailing Address - Street 1:PO BOX 938
Mailing Address - Street 2:
Mailing Address - City:CAMDENTON
Mailing Address - State:MO
Mailing Address - Zip Code:65020-0938
Mailing Address - Country:US
Mailing Address - Phone:573-346-5556
Mailing Address - Fax:573-346-5788
Practice Address - Street 1:802 N BUSINESS ROUTE 5
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-2646
Practice Address - Country:US
Practice Address - Phone:573-346-5556
Practice Address - Fax:573-346-5788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO57214Other57214
MO110845OtherBCBS ITS UNIT
MO16952018OtherBLUE CROSS & BLUE SHIELD
MO621781004Medicaid
MO257852OtherHEALTHLINK
MO621781020Medicaid
MO82187OtherNORTHWOOD NPN (ELDON STOR
MO82187OtherNORTHWOOD NPN (ELDON STOR
MO621781004Medicaid
MO16952018OtherBLUE CROSS & BLUE SHIELD