Organization Active NPI

Comprehensive Medical Supply

  • Prosthetic/Orthotic Supplier
  • East Ridge, TN
National Provider Identifier
1225065147
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
3037 Issued in GA
Legal business name
COMPREHENSIVE MEDICAL SUPPLY
Practice address
4120C Ringgold Rd
East Ridge, TN 37412-2436
Phone
(423) 629-7793
Fax
(423) 629-7199
NPI assigned
Jun 27, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Mr. Gary L Hedges
Title
President
Phone
(423) 629-7793

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 3037 GA
Prosthetic/Orthotic Supplier 335E00000X 3037 GA Primary

Addresses

Primary practice location

4120C Ringgold Rd
East Ridge, TN 37412-2436

Mailing address

PO Box 91415
East Ridge, TN 37412-6415
Phone (423) 629-7793

National Provider Directory

National Provider Directory

Locations

4120 Ringgold Rd
Ste C
East Ridge, TN 37412
Phone (423) 629-7793

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1225065147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91415",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374126415",
            "telephone_number": "423-629-7793",
            "fax_number": "423-629-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120C RINGGOLD RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374122436",
            "telephone_number": "423-629-7793",
            "fax_number": "423-629-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-629-7793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "3037",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "3037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.