Organization
MED-RESPONSE, INC.
Active
Parent organization
MED-RESPONSE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED-RESPONSE, INC.
Authorized official
WILLIAM E CLARKE (PRESIDENT)
(304) 915-0054
Entity
Organization
Contact information
Practice address
1411 HONAKER AVE, PRINCETON, WV 24740-3047
(304) 487-9073
Mailing address
PO BOX 3225, BLUEFIELD, WV 24701-8225
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
018764
WV
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
018764
WV
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
018764
WV
335E00000X
Prosthetic/Orthotic Supplier
018764
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000212913
MT STATE BC
WV
05
—
0146817001
—
WV
01
—
048211200
DEPT OF LABOR
WV
01
—
050572
ANTHEM
WV
01
—
1377485
UMWA
WV
01
—
V003083
TRICARE
WV
Enumeration date
10/27/2006
Last updated
03/26/2025
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