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Organization

CHEROKEE HEALTH CARE SUPPLY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICKY FORSHEE (VICE PRESIDENT)
(423) 559-3010
Entity
Organization

Contact information

Practice address
1690 25TH ST NW, SUITE B, CLEVELAND, TN 37311-3613
(423) 559-3010
(423) 559-3011
Mailing address
1690 25TH ST NW, SUITE B, CLEVELAND, TN 37311-3613
(423) 559-3010
(423) 559-3011

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
673
TN
332BX2000X
Oxygen Equipment & Supplies (DME)
673
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00195742B
GA
05
00356452C
GA
01
0049062
BCBS/TENNCARE PROV #
TN
05
3536528
TN
Enumeration date
07/02/2006
Last updated
02/16/2018
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