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Organization

CUMBERLAND VITAL CARE, LLC

Active
Other names
Cumberland Vital Care
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL ARMES (MANAGER)
(931) 456-0680
Entity
Organization

Contact information

Practice address
336 S MAIN ST, CROSSVILLE, TN 38555-4838
(931) 456-0680
(931) 456-4857
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3030
TN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
3030
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
3030
TN
333600000X
Pharmacy
3030
TN
3336C0003X
Community/Retail Pharmacy
3030
TN
3336H0001X
Home Infusion Therapy Pharmacy
3030
TN
3336L0003X
Long Term Care Pharmacy
3030
TN
3336M0002X
Mail Order Pharmacy
3030
TN
3336S0011X
Specialty Pharmacy
3030
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1452069
TN
01
3010673
BCBS HIT
TN
01
3125118
BCBS DME
TN
01
812561
BLACKLUNG
TN
Enumeration date
07/15/2006
Last updated
11/01/2007
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