| Organization Name: | CAL CITY MEDICAL SUPPLY, INC. |
| NPI Number: | 1902241011 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAX LEVINE (PRESIDENT) |
| Mailing Address: | 6218 Ringgold Rd East Ridge |
| State: | TN US |
| Postal Code: | 374123849 |
| Phone Number: | 8004745030 |
| Fax Number: | 3343632786 |
| NPI Enumeration Date: | 05/02/2013 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 1156 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| 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 |