Organization
CCC MEDICAL EQUIPMENT, INC.
Active
Parent organization
CCC MEDICAL EQUIPMENT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CCC MEDICAL EQUIPMENT, INC.
Authorized official
MRS. BRENDA MONTGOMERY (OWNER)
(731) 584-7919
Entity
Organization
Contact information
Practice address
115 VICKSBURG AVE, CAMDEN, TN 38320-1613
(731) 584-7920
(731) 584-7919
Mailing address
66 LONG AVE, PARSONS, TN 38363-2429
(731) 847-6270
(731) 847-6269
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
878
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525939
—
TN
Enumeration date
06/27/2008
Last updated
04/13/2012
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