Organization Name: | CASCADE MEDICAL SUPPLY, INC. |
NPI Number: | 1083925416 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID BRYANT (VP OPERATIONS) |
Mailing Address: | 14 N Wentworth Ave Londonderry |
State: | NH US |
Postal Code: | 030537438 |
Phone Number: | 6035372300 |
Fax Number: | 6035372308 |
NPI Enumeration Date: | 06/30/2010 |
NPI Last Update Date: | 06/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |