TAMARACK LTD NPI 1003872904

Durable Medical Equipment & Medical Supplies in Beckley, WV

About TAMARACK LTD

Tamarack Ltd is a provider in Beckley, WV. The NPI number assigned to this provider is 1003872904. The practitioner's primary taxonomy code is Durable Medical Equipment & Medical Supplies (332B00000X). The provider is registered as an organization and their NPI record was last updated 5 years ago.

NPI1003872904 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameTAMARACK LTD
Provider Location Address386 RAGLAND RD BECKLEY, WV 25801 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 1102 BECKLEY, WV 25802 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-21-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-07-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

TAMARACK LTD
386 RAGLAND RD
BECKLEY, WV
ZIP 25801
Phone: (304) 255-6500
Fax: (304) 253-5420
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Mailing Address

TAMARACK LTD
PO BOX 1102
BECKLEY, WV
ZIP 25802
Phone: (304) 255-6500
Fax: (304) 253-5420

Primary Taxonomy

Taxonomy Code332B00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official NameMR. JOHN H JOHNSON JR. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCEO
Authorized Official Phone(304) 255-6500

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0148499000MEDICAID (05)WV
0569730001MEDICARE NSC (07)WV

Map Location


TAMARACK LTD address is 386 RAGLAND RD BECKLEY, WV 25801