CLEAN COLONIC LLC


Address: 7560 S. Willow Dr, Tempe, AZ 85283
Phone: 9529943554

CLEAN COLONIC LLC (NPI# 1609226364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609226364
Entity Type Organization
Organization Name CLEAN COLONIC LLC
Practice Address 7560 S. Willow Dr
Tempe
AZ 85283
Mailing Address 7560 S Willow Dr
Tempe
AZ 85283-5004
Practice Telephone 9529943554
Mailing Telephone 4802695575
Enumeration Date 2016-06-14
Last Update Date 2017-01-19
Authorized Official Name CAROLYN DEE BERRY (COLON HYDROTHERAPIST)
Authorized Official Telephone 4802695575
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251K00000X Public Health or Welfare Agencies
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Office Location

Street Address 7560 S. WILLOW DR
City TEMPE
State AZ
Zip Code 85283

Providers in the same zip code

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1093373284 Odilette Trevizo Registered Nurse Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 2019-06-03
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1912409228 Laura Lee Jones Social Worker 438 W. Seed Farm Road, Sacaton, AZ 85283 2018-03-02
1235583212 Seema Bacon Counselor 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 2016-04-15
1326436908 Dale E King Social Worker 1405 E. Guadalupe Road, Tempe, AZ 85283 2015-01-05
1194135871 Greater Phoenix Psychiatric Associate Pllc Psychiatry & Neurology 6530 S Maple Ave, Tempe, AZ 85283 2014-05-02
1639468077 Muna A Jama Pharmacist 6404 S Mcclintock Dr., Tempe, AZ 85283 2011-04-06
1649580945 Nancy A Syms Psychologist 6350 South Maple Avenue, Tempe, AZ 85283 2010-10-20
1629208400 Bonnie J Rouzaud Nurse Practitioner 1920 E Baseline Road, Tempe, AZ 85283 2009-07-15
1518101534 Scott Leffler Anesthesiology 1219 E Harbor View Dr, Tempe, AZ 85283 2009-04-21
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285193417 Eric A Heap Dds PC Durable Medical Equipment & Medical Supplies 2125 E Warner Rd Ste 101, Tempe, AZ 85284-3490 2019-03-18
1679054886 924 Holdings, Inc Durable Medical Equipment & Medical Supplies 437 S 48th St Ste 107, Tempe, AZ 85281-2308 2018-08-25
1871099663 Mayo Clinic Arizona Durable Medical Equipment & Medical Supplies 2120 E Rio Salado Pkwy, Tempe, AZ 85281-3002 2018-04-02
1356889513 German Dobson Cvs LLC Durable Medical Equipment & Medical Supplies 909 E Apache Blvd, Tempe, AZ 85281-5817 2017-02-08
1255879854 Afc of Tempe Pllc Durable Medical Equipment & Medical Supplies 2145 E Warner Rd, Ste 104, Tempe, AZ 85284-3548 2017-02-03
1871038034 Breg, Inc. Durable Medical Equipment & Medical Supplies 1860 W University Dr, Suite 103, Tempe, AZ 85281-3247 2016-12-27
1528511425 Soleo Health Inc Durable Medical Equipment & Medical Supplies 415 S 48th Street, Suite 101, Tempe, AZ 85281-2358 2016-07-27
1467826263 Elitecare,llc Durable Medical Equipment & Medical Supplies 2153 E Cedar St, Suite 1, Tempe, AZ 85281-7411 2015-11-17
1104230176 Soleo Health Inc. Durable Medical Equipment & Medical Supplies 415 S 48th St, Suite 101, Tempe, AZ 85281-2357 2014-06-17
1568800191 Safeway Inc Durable Medical Equipment & Medical Supplies 926 E Broadway Rd, Tempe, AZ 85282-1502 2013-06-05
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Competitor

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City TEMPE
Zip Code 85283

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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