Provider Demographics
NPI:1679728109
Name:MEDICAL EQUIPMENT OF CAMDEN
Entity type:Organization
Organization Name:MEDICAL EQUIPMENT OF CAMDEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:O
Authorized Official - Last Name:BUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-246-7060
Mailing Address - Street 1:208 CLAIBORNE ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AL
Mailing Address - Zip Code:36726-1714
Mailing Address - Country:US
Mailing Address - Phone:251-246-7060
Mailing Address - Fax:
Practice Address - Street 1:208 CLAIBORNE ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AL
Practice Address - Zip Code:36726-1714
Practice Address - Country:US
Practice Address - Phone:251-246-7060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies