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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