CMV Home Medical Supplies, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

2001010194 Issued in MO

Legal business name

CMV HOME MEDICAL SUPPLIES, LLC

Practice address

825 W 3Rd St Ste a
Caruthersville, MO 63830-1236

Phone

(537) 333-3784

Fax

(573) 333-3785

NPI assigned

Oct 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Jeffery Montgomery

Title

Member

Phone

(573) 333-3784

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1124354576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W 3RD ST STE A",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301236",
            "telephone_number": "537-333-3784",
            "fax_number": "573-333-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W 3RD ST STE A",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301236",
            "telephone_number": "537-333-3784",
            "fax_number": "573-333-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMV HOME MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-333-3784"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MO",
            "license": "2001010194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008511",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caruthersville Clinic
• Caruthersville No 1 Inc
• Krilurk Chanvitayapongs, R.PH.
• Patricia Ann Clayton
• Marion Amelia Cleek
• CMV in-Home Assistance, Inc.
• CMV-CDS,LLC
• Jennifer Coleman
• Angela Suzanne Constant, FNP
• Penny Gail Cook

• Oxygen Equipment & Supplies (DME) in Caruthersville, MO
• Providers in Caruthersville, MO by specialty
• Oxygen Equipment & Supplies (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.