Organization Active NPI

C & M Medical Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Perrysburg, OH
National Provider Identifier
1841306727
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
C & M MEDICAL SUPPLY, LLC
Practice address
8600 S Wilkinson Way
Suite C
Perrysburg, OH 43551-2598
Phone
(419) 872-0033
NPI assigned
Aug 22, 2006
Last updated
Aug 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Mr. Creston Lenell Tarrant
Title
President
Phone
(419) 872-0033

Specialties & licenses 1

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

Addresses

Primary practice location

8600 S Wilkinson Way
Suite C
Perrysburg, OH 43551-2598

Mailing address

8600 S Wilkinson Way
Suite C
Perrysburg, OH 43551-2598
Phone (419) 872-0033

Other identifiers 1

IdentifierTypeStateIssuer
2680960MedicaidOH

National Provider Directory

National Provider Directory

Locations

8600 S Wilkinson Way
Ste C
Perrysburg, OH 43551
Phone (419) 825-0441

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1841306727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 S WILKINSON WAY",
            "address_2": "SUITE C",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512598",
            "telephone_number": "419-872-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 S WILKINSON WAY",
            "address_2": "SUITE C",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512598",
            "telephone_number": "419-872-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & M MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "TARRANT",
        "authorized_official_first_name": "CRESTON",
        "authorized_official_middle_name": "LENELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-872-0033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2680960",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.