CCC Medical Equipment, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · MC Kenzie, TN
NPI 1750710331 · NPPES record last updated Jul 31, 2014
Key facts
- NPI
- 1750710331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 00000000878 (TN)
- Legal business name
- CCC MEDICAL EQUIPMENT, INC.
- Practice address
- 205 Hospital Dr
MC Kenzie, TN 38201-1649 - Phone
- (731) 352-6005
- Fax
- (731) 352-6006
- NPI assigned
- Nov 5, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Brenda C Montgomery
- Title
- President/Owner
- Phone
- (731) 584-7919
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 00000000878 | TN | Yes |
Addresses
Primary practice location
205 Hospital Dr
MC Kenzie, TN 38201-1649
Mailing address
115 Vicksburg Ave
Camden, TN 38320-1613
Phone (731) 584-7919
Other providers in MC Kenzie, TN
- Brittany Burkett
- Brooke Spivey Burress
- Kenneth T Butler
- Rustin Forest Cameron
- Elijah Carpenter
- Briana Page Chandler
- Philemon D Chang
- Alice Chapman
- Christian Care Center of McKenzie LLC
- Terry Andrew Colotta
All providers in MC Kenzie, TN · Durable Medical Equipment & Medical Supplies in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.