Organization
COMMONWEALTH MEDICAL EQUIPMENT & SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S MOODY (PRESIDENT)
(804) 550-7701
Entity
Organization
Contact information
Practice address
10338 STONY RUN LN # B, ASHLAND, VA 23005-8129
(804) 550-7701
(804) 550-7705
Mailing address
PO BOX F, ASHLAND, VA 23005-4030
(804) 550-7701
(804) 550-7705
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237512
ANTHEM
—
Enumeration date
11/06/2006
Last updated
08/22/2020
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