Organization
LARCO MEDICAL INC
Active
Other names
LARCO MEDICAL INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BARRY HELM (CFO)
(931) 528-7573
Entity
Organization
Contact information
Practice address
405 N WILLOW AVE, COOKEVILLE, TN 38501-2338
(931) 528-7573
(931) 526-6383
Mailing address
405 N WILLOW AVE, COOKEVILLE, TN 38501-2338
(931) 528-7573
(931) 526-6383
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000000504
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045535
BLUE CROSS BLUE SHIELD
TN
01
—
20204
ABP ADMINISTRATION
TN
05
—
3548141
—
TN
01
—
80545
NORHTWOOD NPN
TN
Enumeration date
09/26/2005
Last updated
09/01/2016
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