Healthcare Provider Details

I. General information

NPI: 1497063630
Provider Name (Legal Business Name): CAPE MEDICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 09/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 TURNPIKE ST
CANTON MA
02021-2824
US

IV. Provider business mailing address

28 JAN SEBASTIAN DR
SANDWICH MA
02563-2361
US

V. Phone/Fax

Practice location:
  • Phone: 800-339-3322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: GARY M SHEEHAN
Title or Position: PRESIDENT/CEO
Credential:
Phone: 508-888-3113