Provider Demographics
NPI:1154354348
Name:CENTRAL MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:CENTRAL MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BLANCHE
Authorized Official - Middle Name:H
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:BSRN
Authorized Official - Phone:601-267-8335
Mailing Address - Street 1:807 HIGHWAY 35 S
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MS
Mailing Address - Zip Code:39051-5803
Mailing Address - Country:US
Mailing Address - Phone:601-267-8335
Mailing Address - Fax:601-267-9575
Practice Address - Street 1:807 HIGHWAY 35 S
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MS
Practice Address - Zip Code:39051-5803
Practice Address - Country:US
Practice Address - Phone:601-267-8335
Practice Address - Fax:601-267-9575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS02276/11.1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00040077Medicaid
MS0234210001Medicare NSC