Provider Demographics
NPI:1588701296
Name:CENTRALIZED MEDICAL EQUIPMENT LLC
Entity type:Organization
Organization Name:CENTRALIZED MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-297-8626
Mailing Address - Street 1:50 KERRY PL
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4775
Mailing Address - Country:US
Mailing Address - Phone:781-619-0261
Mailing Address - Fax:781-297-8253
Practice Address - Street 1:50 KERRY PL
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4775
Practice Address - Country:US
Practice Address - Phone:781-619-0261
Practice Address - Fax:781-297-8253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110073239AMedicaid
MA5722390001Medicare NSC