OrganizationClear Stream Ltc, Llc(Clear Stream Ltc)Durable Medical Equipment & Medical SuppliesSuppliersPractice Address2210 Barron Rd Ste B-012, Poplar Bluff, MO 63901-1908(573) 686-4556PECOS EnrollmentBased on the most recent information from CMS, provider Clear Stream Ltc, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1548464415Provider TypeOrganizationFull NameClear Stream Ltc, LlcOther NameClear Stream LtcSubpartNoEnumeration Date6/13/2007Last Updated3/7/2023Contact InformationPractice LocationPractice Address2210 Barron Rd Ste B-012, Poplar Bluff, MO 63901-1908Phone(573) 686-4556Fax(573) 686-4529Mailing LocationMailing Address2210 Barron Rd Ste B-012, Poplar Bluff, MO 63901-1908Phone(573) 686-4556Fax(573) 686-4529Authorized OfficialNameKleinbeck, Mark Taylor (President)Phone(573) 686-4556Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicense2007013239MissouriProvider IdentifiersIDDescriptionIssuerIDK90FQ0Y00DescriptionOtherIssuerHINID2007013239DescriptionOtherIssuerPHARMACY PERMITMissouri