MEDICARE: RICH AND CLARK INC.

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
1	332BC3200X	Customized Equipment (DME)	000112	OH

General Provider Information

NPI Number	:	1891952016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICH AND CLARK INC.

Provider Business Mailing Address
First Line	:	3950 MAYFIELD RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-2223
Country	:	US
Telephone Number	:	216-381-0200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3950 MAYFIELD RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44121-2223
Country	:	US
Telephone Number	:	216-381-0200
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAYMOND Z RICH
Credential	:	BCHIS
Telephone Number	:	216-381-0200

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	05/16/2008

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Directions to “RICH AND CLARK INC. ” Practice Location

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