Healthcare Provider Details

I. General information

NPI: 1073677936
Provider Name (Legal Business Name): CARE MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 05/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1280 CHARNELTON ST
EUGENE OR
97401-3430
US

IV. Provider business mailing address

509 NE HANCOCK ST
PORTLAND OR
97212-3914
US

V. Phone/Fax

Practice location:
  • Phone: 541-343-0304
  • Fax:
Mailing address:
  • Phone: 503-288-8174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberNPC-0002082
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier210575
Identifier TypeMEDICAID
Identifier StateOR
Identifier Issuer

VIII. Authorized Official

Name: ANGELENE ADLER
Title or Position: VICE PRESIDENT OF OPERATIONS
Credential:
Phone: 503-288-8174