COLLOM & CARNEY CLINIC (NPI# 1881887891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881887891 |
| Entity Type | Organization |
| Organization Name | COLLOM & CARNEY CLINIC |
| Other Organization Name | COLLOM & CARNEY CLINIC PRESCOTT DME |
| Practice Address |
1440 W 1st St N Prescott AR 71857-3339 |
| Mailing Address |
5002 Cowhorn Creek Rd Texarkana TX 75503-9766 |
| Practice Telephone | 8708878001 |
| Mailing Telephone | 9036143000 |
| Mailing Fax Number | 9036143525 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | MARY E DWIGHT (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9036143282 |
| Authorized Official Credential | CCS-P, MHA, CMPE |
| Is Organization Subpart | Y |
| Parent Organization Name | COLLOM AND CARNEY CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Collom & Carney Clinic Prescott DME | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740262732 | Collom & Carney Clinic | Family Medicine | 1440 W 1st N, Prescott, AR 71853 | 2005-11-16 |
| 1962829747 | Collom & Carney Clinic | Anesthesiology | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2014-03-18 |
| 1437455565 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 4110 Richmond Pl, Texarkana, TX 75503-0001 | 2011-02-08 |
| 1295929743 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 1902 Moores Ln, Texarkana, TX 75503-4610 | 2007-08-28 |
| 1750364899 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-22 |
| 1114909934 | Collom & Carney Clinic | Internal Medicine | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2005-11-17 |
| 1811979586 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 128 N Ellis St, New Boston, TX 75570-2904 | 2005-11-17 |
| 1720060494 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 815 N Kings Hwy, Wake Village, TX 75501-5700 | 2005-11-17 |
| 1114909223 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 5402 Summerhill Rd, Texarkana, TX 75503-4607 | 2005-11-15 |
| 1548241920 | Collom & Carney Clinic | Durable Medical Equipment & Medical Supplies | 2931 Richmond Rd, Texarkana, TX 75503 | 2005-11-11 |
| Street Address |
1440 W 1ST ST N |
| City | PRESCOTT |
| State | AR |
| Zip Code | 71857-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770583189 | Thomas A Fox | Family Medicine | 1440 W 1st St N, Prescott, AR 71857-3339 | 2005-07-28 |
| 1104000553 | Kimberly Ann Schooley | Nurse Practitioner | 1440 W 1st St N, Prescott, AR 71857-3339 | 2007-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598915514 | Southwest Arkansas Counseling and Mental Health Center, Inc | Community/Behavioral Health | 1658 Highway 371 West, Prescott, AR 71857 | 2008-09-26 |
| 1366607897 | Texarkana Behavioral Associates | Clinic/Center | 1484 West 1st Street, North, Prescott, AR 71857 | 2008-07-24 |
| 1295949238 | Pnc, Inc. | Day Training, Developmentally Disabled Services | 504 East 4th St North, Prescott, AR 71857 | 2007-05-09 |
| 1659597698 | Charles Vermont, M.d., Pllc | Family Medicine | 1480 West First North, Prescott, AR 71857 | 2007-04-18 |
| 1255464699 | Donisha Lafae Samuels | Case Manager/Care Coordinator | 1658 Hwy 371 W, Prescott, AR 71857 | 2007-03-14 |
| 1699856278 | Audie M Teague O D P A | Optometrist | 204 E 2nd Sreet S, Prescott, AR 71857 | 2006-10-18 |
| 1154411379 | Michele Rhodes | Nurse Practitioner | 1501 West First Street, Ark Department of Health and Human Services, Prescott, AR 71857 | 2006-10-16 |
| 1821185091 | Audie M. Teague | Optometrist | 204 E 2nd Street S, Prescott, AR 71857 | 2006-10-06 |
| 1760402804 | Mary Lou Kaufman | Licensed Practical Nurse | 1658 Hyw 371 West, Prescott, AR 71857 | 2006-07-20 |
| 1073532388 | Cindie Dianne Mckamie | Registered Nurse | 1658 Hwy 371 West, Prescott, AR 71857 | 2006-07-18 |
| Find all providers in zip 71857 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063869980 | Canyon Mobility Sales and Service | Durable Medical Equipment & Medical Supplies | 695 6th St, Prescott, AZ 86301-2015 | 2016-05-20 |
| 1255736120 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 901 Wllow Lake Rd, Prescott, AZ 86301-4617 | 2014-11-04 |
| 1598035875 | Truth Services Pllc | Durable Medical Equipment & Medical Supplies | 3103 Clearwater Dr Ste A, Prescott, AZ 86305-7165 | 2012-01-04 |
| 1073757290 | Unlimited Home Health Center, Inc | Durable Medical Equipment & Medical Supplies | 1050 Spire Dr, Suite F, Prescott, AZ 86305-6748 | 2009-05-01 |
| 1235203191 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 808 Ainsworth Dr Ste 101, Prescott, AZ 86301-1625 | 2006-11-20 |
| 1386716900 | Taylor Enterprises,inc. | Durable Medical Equipment & Medical Supplies | 1841 E State Route 69, Suite 122, Prescott, AZ 86301-5608 | 2006-11-15 |
| 1427133487 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 437 Miller Valley Rd, Prescott, AZ 86301-2900 | 2006-10-26 |
| 1023105186 | Prescott Mobililty Store Inc | Durable Medical Equipment & Medical Supplies | 609 Miller Valley Rd, Prescott, AZ 86301-2315 | 2006-10-09 |
| 1669487906 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 178 E Sheldon St, Prescott, AZ 86301-3114 | 2006-07-29 |
| 1649284498 | Arizona Medical Equipment & Supply LLC | Durable Medical Equipment & Medical Supplies | 3185 Clearwater Dr, Suite A, Prescott, AZ 86305-7119 | 2006-07-28 |
| Find all providers in PRESCOTT | ||||
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| 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.