Organization
CUNNINGHAM HOME MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANKIE J TOLLIVER (OWNER MANAGER)
(423) 626-3151
Entity
Organization
Contact information
Practice address
201 N BROAD ST, NEW TAZEWELL, TN 37825-6603
(423) 626-3151
(423) 626-7384
Mailing address
201 N BROAD ST, PO BOX 67, NEW TAZEWELL, TN 37825-6603
(423) 626-3151
(423) 626-7384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
654
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100021369
PREFERRED HEALTH PARTNERS
TN
01
—
3018874
BLUE CROSS BLUE SHIELD
TN
05
—
3512144
—
TN
Enumeration date
07/15/2006
Last updated
03/16/2021
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