Organization
PROCARE MEDICAL, INC
Active
Parent organization
PROCARE MEDICAL, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROCARE MEDICAL, INC
Authorized official
DEBORAH J SMITH RN (OPERATIONS MANAGER)
(573) 695-2203
Entity
Organization
Contact information
Practice address
113 E HALE AVE, SUITE D, OSCEOLA, AR 72370-2621
(870) 563-2242
(870) 563-7972
Mailing address
210 W MAIN ST, STEELE, MO 63877-1436
(573) 695-2203
(573) 695-2510
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123164716
—
AR
Enumeration date
10/03/2006
Last updated
06/02/2010
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