Organization Active NPI

Cherokee Health Care Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, TN
National Provider Identifier
1689603532
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
673 Issued in TN
Legal business name
CHEROKEE HEALTH CARE SUPPLY INC
Practice address
1690 25TH St NW
Suite B
Cleveland, TN 37311-3613
Phone
(423) 559-3010
Fax
(423) 559-3011
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Mr. Ricky Forshee
Title
Vice President
Phone
(423) 559-3010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 673 TN Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 673 TN

Addresses

Primary practice location

1690 25TH St NW
Suite B
Cleveland, TN 37311-3613

Mailing address

1690 25TH St NW
Suite B
Cleveland, TN 37311-3613
Phone (423) 559-3010

Other identifiers 4

IdentifierTypeStateIssuer
00356452CMedicaidGA
0049062OtherTNBCBS/TENNCARE PROV #
00195742BMedicaidGA
3536528MedicaidTN

National Provider Directory

National Provider Directory

Locations

2850 Westside Dr NW
Ste F
Cleveland, TN 37312
Phone (423) 559-3010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1689603532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 25TH ST NW",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113613",
            "telephone_number": "423-559-3010",
            "fax_number": "423-559-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 25TH ST NW",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113613",
            "telephone_number": "423-559-3010",
            "fax_number": "423-559-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE HEALTH CARE SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "FORSHEE",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "423-559-3010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "673",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356452C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/TENNCARE PROV #",
            "identifier": "0049062",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00195742B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3536528",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.