Organization
CLOCK MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L CLOCK (PRESIDENT)
(620) 221-0550
Entity
Organization
Contact information
Practice address
901 INDUSTRIAL BLVD, WINFIELD, KS 67156-9129
(620) 221-0550
(620) 221-7460
Mailing address
PO BOX 620, WINFIELD, KS 67156-0620
(620) 221-0550
(620) 221-7460
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/07/2005
Last updated
01/05/2011
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