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Organization

CUMBERLAND MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. W. BLAINE SHEFFIELD (PRESIDENT)
(850) 654-8939
Entity
Organization

Contact information

Practice address
4105 S CHARLESTON PIKE, SPRINGFIELD, OH 45502-9375
(937) 629-0962
(937) 629-0980
Mailing address
4383 STONEBRIDGE RD, DESTIN, FL 32541-3463
(850) 654-8939
(850) 654-8939

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100031700
IN
05
101884075
PA
05
1455128
TN
05
2052513
OH
05
3810008256
WV
05
R02256159
KY
Enumeration date
06/21/2006
Last updated
09/15/2009
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