Healthcare Provider Details
I. General information
NPI: 1346381332
Provider Name (Legal Business Name): CUMBERLAND MEDICAL EQUIPMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/11/2007
Last Update Date: 06/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
498 WANDO PARK BLVD STE 1150 1150
MT PLEASANT SC
29464-7971
US
IV. Provider business mailing address
498 WANDO PARK BLVD STE 1150 1150
MT PLEASANT SC
29464-7971
US
V. Phone/Fax
- Phone: 844-345-2036
- Fax: 844-315-5102
- Phone: 844-345-2036
- Fax: 844-315-5102
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ANDREW
A
CHMIEL
Title or Position: OWNER
Credential:
Phone: 844-647-7621