Cumberland Medical Center, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0000000398 Issued in TN

Legal business name

CUMBERLAND MEDICAL CENTER, INC.

Doing business as

CMC Medical Equipment Services

Practice address

591 S Main St
Crossville, TN 38555-5009

Phone

(931) 484-8076

Fax

(931) 484-2393

NPI assigned

Nov 4, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Leon McMackin

Title

Ceo

Phone

(931) 484-9511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CMC MEDICAL EQUIPMENT SERVICES Doing business as

Locations

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497746721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555009",
            "telephone_number": "931-484-8076",
            "fax_number": "931-484-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555009",
            "telephone_number": "931-484-8076",
            "fax_number": "931-484-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMACKIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-484-9511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000000398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3547142",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC MEDICAL EQUIPMENT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Crossville, TN
• Providers in Crossville, TN by specialty
• Oxygen Equipment & Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.