Organization
CLARE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANISHA RENEE JOHNSON (ALTERNATE CHANNELS MGR.)
(757) 221-0900
Entity
Organization
Contact information
Practice address
3220 HIGH ST, PORTSMOUTH, VA 23707-3318
(757) 397-4560
(757) 397-0277
Mailing address
3220 HIGH ST, PORTSMOUTH, VA 23707-3318
(757) 397-4560
(757) 397-0277
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009135707
—
VA
Enumeration date
08/08/2006
Last updated
10/18/2011
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