3 C Healthcare, LLC
Organization Active NPI Oxygen Equipment & Supplies (DME) · Kyle, TX
NPI 1801540596 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1801540596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- 3 C HEALTHCARE, LLC
- Practice address
- 1101 Bunton Creek Rd Unit 100B
Kyle, TX 78640-2778 - Phone
- (512) 697-9896
- NPI assigned
- Feb 10, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- 3C HEALTHCARE, LLC
Authorized official
- Name
- Judson Sturdivant
- Title
- Ceo
- Phone
- (512) 697-9896
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230113001536 | TX | DME Supplier - Medical Supply Company With Respiratory Therapist | 1456550730 | Practice locations: Kyle, TX |
National Provider Directory
- Tax ID family
- 3 C Healthcare LLC
- Part of
- 3 C Healthcare LLC
Locations
1101 Bunton Creek Rd
Unit 100B
Kyle, TX 78640
Phone (512) 697-9896
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Yes |
Addresses
Primary practice location
1101 Bunton Creek Rd Unit 100B
Kyle, TX 78640-2778
Mailing address
PO Box 130008
Tyler, TX 75713-0008
Other names
- Hays Medical Supply
Other providers in Kyle, TX
- Rozina Abraham
- Acorus Integrative Medicine PLLC
- Acuity Vision, PLLC
- Courtney Elizabeth Adams
- Erin M Adams
All providers in Kyle, TX · Oxygen Equipment & Supplies (DME) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.