VITAL DME, INC.
NPI 1205806114
Durable Medical Equipment & Medical Supplies in Gretna, LA

Active since January 24, 2006
59 5TH ST, GRETNA, LA 70053(504) 263-0865(504) 263-0866 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About VITAL DME, INC.

This page provides the complete NPI Profile along with additional information for Vital Dme, Inc., a provider established in Gretna, Louisiana operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1205806114 assigned on January 2006. The practitioner's primary taxonomy code is 332B00000X with license number 260011299 (LA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Carl D Clark Cpa (Ceo)

NPI
1205806114 Verify this NPI
Provider Name
VITAL DME, INC.
Entity Type
Organization
Location Address
59 5TH ST GRETNA, LA 70053
Location Phone
(504) 263-0865
Location Fax
(504) 263-0866
Mailing Address
PO BOX 8832 METAIRIE, LA 70011
Mailing Phone
(504) 835-4000
Mailing Fax
(504) 835-4999
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2006
Last Update Date
04-18-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
260011299
License State
LA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CARL D CLARK CPA

Authorized Official Title
CEO
Authorized Official Phone
(504) 835-4000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5476850001MEDICARE ID-TYPE UNSPECIFIED (04) 
5476850001MEDICARE NSC (07)LA 
1590339MEDICAID (05)LA 
=========OTHER (01)TRICARE

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205806114, enumerated as an "organization" on January 24, 2006.

The provider is located at 59 5TH ST GRETNA, LA 70053 and the phone number is (504) 263-0865.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Tricare. Please consult your insurance carrier or call the provider to verify.