Provider Demographics
NPI:1730909458
Name:THE CLOCK CORPORATION
Entity type:Organization
Organization Name:THE CLOCK CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BUTGEREIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-698-9400
Mailing Address - Street 1:6700 CLAY AVE SW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49548-7836
Mailing Address - Country:US
Mailing Address - Phone:616-698-9400
Mailing Address - Fax:
Practice Address - Street 1:6700 CLAY AVE SW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49548-7836
Practice Address - Country:US
Practice Address - Phone:616-698-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies