Organization
CASCADE MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE M HIRSCH (VP OF OPERATIONS)
(800) 445-9622
Entity
Organization
Contact information
Practice address
14727 NE 87TH ST, REDMOND, WA 98052-6500
(866) 433-0504
(866) 433-3306
Mailing address
PO BOX 681646, FRANKLIN, TN 37068-1646
(615) 771-8839
(615) 550-7400
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
WA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
602 158 743
WA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9061854
—
WA
Enumeration date
11/02/2005
Last updated
11/21/2011
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