Provider Demographics
NPI:1619003969
Name:COMPLETE CARE INC
Entity Type:Organization
Organization Name:COMPLETE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:V
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-856-4301
Mailing Address - Street 1:1638 HIGHWAY 62 412
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:HIGHLAND
Mailing Address - State:AR
Mailing Address - Zip Code:72542-9471
Mailing Address - Country:US
Mailing Address - Phone:870-856-4301
Mailing Address - Fax:870-856-4320
Practice Address - Street 1:908 N KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-2025
Practice Address - Country:US
Practice Address - Phone:417-257-2333
Practice Address - Fax:417-257-7588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO627992902Medicaid
MO1009960001Medicare NSC