Healthcare Provider Details

I. General information

NPI: 1942440136
Provider Name (Legal Business Name): PALMCO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 LOCUST ST
CHILLICOTHEE MO
64601-2250
US

IV. Provider business mailing address

330 N. FRANKLIN PO BOX 528
CUBA MO
65453
US

V. Phone/Fax

Practice location:
  • Phone: 660-646-0400
  • Fax: 660-646-0402
Mailing address:
  • Phone: 573-885-0885
  • Fax: 573-677-0567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY MITCHELL
Title or Position: PRESIDENT
Credential:
Phone: 573-885-0885