CLEAR STREAM LTC LLC NPI 1548464415

NPI Information

  • NPI: 1548464415
  • Provider Name: CLEAR STREAM LTC, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: CLEAR STREAM LTC
  • Address: 2210 BARRON RD STE B-012
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 686-4556

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NPI Details

CLEAR STREAM LTC, LLC is a durable medical equipment medical supplies in Poplar Bluff, MO. The provider is 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. CLEAR STREAM LTC, LLC NPI is 1548464415. The provider is registered as an organization entity type.
The provider Is Doing Business As Clear Stream Ltc.

The provider's business location address is:

2210 BARRON RD STE B-012
POPLAR BLUFF, MO
ZIP 63901-908
Phone: (573) 686-4556
Fax: (573) 686-4529

The provider's authorized official is Mark Taylor Kleinbeck .
The authorized official title is President and has the following contact phone number (573) 686-4556.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies2007013239MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K90FQ0Y00OTHERHIN
22007013239OTHERMISSOURIPHARMACY PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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