Organization
CASCADE MEDICAL SUPPLY, INC.
Active
Parent organization
CASCADE MEDICAL SUPPLY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASCADE MEDICAL SUPPLY, INC.
Authorized official
THEODORE M HIRSCH (VP OF OPERATIONS)
(800) 445-9622
Entity
Organization
Contact information
Practice address
3601 SE COLUMBIA WAY, SUITE 190, VANCOUVER, WA 98661-8056
(360) 695-6461
(360) 695-3064
Mailing address
720 COOL SPRINGS BLVD, SUITE 600, FRANKLIN, TN 37067-2626
(800) 445-9622
(615) 771-8849
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228870
—
OR
Enumeration date
03/06/2009
Last updated
11/21/2011
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