DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RANDALL W CLENDENIN CO, C-PED

MEDICARE: RANDALL W CLENDENIN CO, C-PED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11744P3200XProsthetics Case Management

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417009614
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANDALL W CLENDENIN CO, C-PED
Provider Business Mailing Address
First Line : 2301 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4309
Country : US
Telephone Number : 336-333-9081
Fax Number : 336-333-9083
Provider Business Practice Location Address
First Line : 2301 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27405-4309
Country : US
Telephone Number : 336-333-9081
Fax Number : 336-333-9083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/09/2007

Similar Medicare Providers

1114874104 — 1ELEVEN LLC
Practice Location Address:
2301 N CHURCH ST
GREENSBORO, NC
27405-4309
Practice Phone: 800-784-6845
Practice Fax: 781-394-2662
1992781587 — BIO-TECH PROSTHETICS AND ORTHOTICS, INC
Practice Location Address:
2301 N CHURCH ST
GREENSBORO, NC
27405-4309
Practice Phone: 336-333-9081
Practice Fax: 336-333-9083
1922150127 — MICHAEL R NEAL CPO
Practice Location Address:
2301 N CHURCH ST
GREENSBORO, NC
27405-4309
Practice Phone: 336-333-9081
Practice Fax: 336-333-9083
1932251147 — LARRY D POWERS CP, ROA
Practice Location Address:
2301 N CHURCH ST
GREENSBORO, NC
27405-4309
Practice Phone: 336-333-9081
Practice Fax: 336-333-9083
1902268956 — JOHN R CRUTCHFIELD BOCO, BOCP
Practice Location Address:
2301 N CHURCH ST
GREENSBORO, NC
27405-4309
Practice Phone: 336-333-9081
Practice Fax:
1891425930 — MR. VANCE R WALTON CFO
Practice Location Address:
2301 N CHURCH ST
GREENSBORO, NC
27405-4309
Practice Phone: 336-333-9081
Practice Fax: 336-333-9083

Directions to “ RANDALL W CLENDENIN CO, C-PED” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.