# CAROLINA MOUNTAIN MEDICAL SUPPLIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306920368
- **Authorized official:** MR. TERRY LEE CAUBLE (OWNER)
- **Authorized official phone:** (828) 628-8200

## Contact information

- **Practice address:** 1356 CHARLOTTE HWY, FAIRVIEW, NC 28730-8798
- **Practice address phone:** (828) 628-8200
- **Practice address fax:** (828) 628-8240
- **Mailing address:** 1356 CHARLOTTE HWY, FAIRVIEW, NC 28730-8798
- **Mailing address phone:** (828) 628-8200
- **Mailing address fax:** (828) 628-8240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 07-00019520 | NC | — |
| 332BC3200X | Customized Equipment (DME) | 07-00019520 | NC | — |
| 332BN1400X | Nursing Facility Supplies (DME) | 07-00019520 | NC | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 07-00019520 | NC | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 09/11/2025