Organization Name: | CCC MEDICAL EQUIPMENT, INC. |
NPI Number: | 1497178693 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENDA C MONTGOMERY (PRES/OWNER) |
Mailing Address: | 136 S Wilson St Dresden |
State: | TN US |
Postal Code: | 382251133 |
Phone Number: | 7315847919 |
Fax Number: | 7315847920 |
NPI Enumeration Date: | 01/24/2014 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |