Organization Active NPI

C and L Supportive Health Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Erwin, TN
National Provider Identifier
1346662475
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
C AND L SUPPORTIVE HEALTH MEDICAL SUPPLIES
Practice address
1001 N Main Ave Ste B
Erwin, TN 37650-1576
Phone
(423) 330-6307
NPI assigned
Jan 8, 2014
Last updated
Jan 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Mrs. Manda Calain, LPN
Title
Partner
Phone
(423) 330-6307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1001 N Main Ave Ste B
Erwin, TN 37650-1576

Mailing address

1001 N Main Ave Ste B
Erwin, TN 37650-1576
Phone (423) 330-6307

National Provider Directory

National Provider Directory

Locations

1001 N Main Ave
Ste B
Erwin, TN 37650
Phone (423) 330-6307

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1346662475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N MAIN AVE STE B",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501576",
            "telephone_number": "423-330-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MAIN AVE STE B",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501576",
            "telephone_number": "423-330-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C AND L SUPPORTIVE HEALTH MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "CALAIN",
        "authorized_official_first_name": "MANDA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "423-330-6307",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.