Healthcare Provider Details

I. General information

NPI: 1497815195
Provider Name (Legal Business Name): C&M HOMECARE MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KY HWY 122 SUITE 9521
MC DOWELL KY
41647-0291
US

IV. Provider business mailing address

PO BOX 291 SUITE 9521
MC DOWELL KY
41647-0291
US

V. Phone/Fax

Practice location:
  • Phone: 606-377-2001
  • Fax: 606-377-6424
Mailing address:
  • Phone: 606-377-2001
  • Fax: 606-377-6424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHARLES EDWARD WILLIAMS SR.
Title or Position: CEO
Credential:
Phone: 606-377-2001