Healthcare Provider Details

I. General information

NPI: 1629069455
Provider Name (Legal Business Name): RMC MEDICAL EQUIPMENT AND SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 07/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 N ROANE ST
HARRIMAN TN
37748-2024
US

IV. Provider business mailing address

314 DEVONIA STREET
HARRIMAN TN
37748
US

V. Phone/Fax

Practice location:
  • Phone: 865-590-1516
  • Fax: 865-590-1513
Mailing address:
  • Phone: 865-882-1502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number635
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number00000000635
License Number StateTN

VIII. Authorized Official

Name: DORIS D THOMPSON
Title or Position: DIRECTOR OF BUSINESS OPERATIONS
Credential:
Phone: 865-882-4359