CCS Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CCS MEDICAL, INC.

Doing business as

CCS Medical

Practice address

14255 49TH St N
Suite 301
Clearwater, FL 33762-2813

Phone

(800) 726-9811

Fax

(800) 860-4326

NPI assigned

Feb 21, 2007

Last updated

Aug 4, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

CCS MEDICAL HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Ms. Monica S Raines

Title

Director/Secretary

Phone

(972) 628-2100

Specialties & licenses 1

Addresses

Other names 1

• CCS Medical Doing business as

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1336284983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FREEWAY",
            "address_2": "SUITE 600",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752346074",
            "telephone_number": "972-628-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14255 49TH ST N",
            "address_2": "SUITE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622813",
            "telephone_number": "800-726-9811",
            "fax_number": "800-860-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCS MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCS MEDICAL HOLDINGS, INC.",
        "enumeration_date": "2007-02-21",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR/SECRETARY",
        "authorized_official_telephone_number": "972-628-2100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCS Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.