MEDICARE: CAPE MEDICAL SUPPLY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1184177834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPE MEDICAL SUPPLY, INC.

Provider Business Mailing Address
First Line	:	28 JAN SEBASTIAN DR
Second Line	:
City	:	SANDWICH
State	:	MA
Zip	:	02563-2361
Country	:	US
Telephone Number	:	800-339-3322
Fax Number	:	508-888-9266

Provider Business Practice Location Address
First Line	:	7 SAINT MARK ST
Second Line	:
City	:	AUBURN
State	:	MA
Zip	:	01501-3237
Country	:	US
Telephone Number	:	800-339-3322
Fax Number	:	508-888-9266

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	GARY M SHEEHAN
Credential	:
Telephone Number	:	508-888-3113

Provider Enumeration Date	:	07/29/2016
Last Update Date	:	09/10/2018

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