| Organization Name: | CENTENNIAL MEDICAL EQUIPMENT INC |
| NPI Number: | 1407826365 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN L MENCHEN (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 2799 Del Monte St Suite A W Sacramento |
| State: | CA US |
| Postal Code: | 956913811 |
| Phone Number: | 9163750223 |
| Fax Number: | 9163750326 |
| NPI Enumeration Date: | 01/24/2006 |
| NPI Last Update Date: | 01/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 11/20/2007 |
| NPI Reactivation Date: | 01/28/2008 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |