Provider Demographics
NPI:1194570481
Name:CHAMMAS, LLC
Entity type:Organization
Organization Name:CHAMMAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-316-3685
Mailing Address - Street 1:PO BOX 922189
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30010-2189
Mailing Address - Country:US
Mailing Address - Phone:888-588-9630
Mailing Address - Fax:888-835-3354
Practice Address - Street 1:815 QUARRIER ST STE 235
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-2652
Practice Address - Country:US
Practice Address - Phone:866-449-4784
Practice Address - Fax:888-835-3354
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHAMMAS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-19
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment