CCC MEDICAL EQUIPMENT INC (NPI# 1790077139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790077139 |
| Entity Type | Organization |
| Organization Name | CCC MEDICAL EQUIPMENT INC |
| Practice Address |
115 Vicksburg Ave Camden TN 38320 |
| Mailing Address |
115 Vicksburg Ave Camden TN 38320-1613 |
| Practice Telephone | 7315847919 |
| Practice Fax Number | 7315847920 |
| Mailing Telephone | 7315847919 |
| Mailing Fax Number | 7315847920 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2018-07-26 |
| Authorized Official Name | JIMMY L MONTGOMERY (OWNER) |
| Authorized Official Telephone | 7315847919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1525939 | 05 | |
| KY | 7100371900 | 05 |
| Street Address |
115 VICKSBURG AVE |
| City | CAMDEN |
| State | TN |
| Zip Code | 38320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013956077 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320-1613 | 2006-06-05 |
| 1548557234 | Ascend Medical Group, LLC | Clinic/Center | 115 Vicksburg Ave, Camden, TN 38320-1613 | 2011-07-01 |
| 1346402690 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320-1613 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
| 1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
| 1730240441 | State of Tennessee | Public Health or Welfare | 225 Hospital Drive, Camden, TN 38320 | 2006-12-13 |
| Find all providers in zip 38320 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898186 | Nextgen Hme, LLC | Durable Medical Equipment & Medical Supplies | 855 Dicey Creek Rd, Camden, SC 29020-2561 | 2019-08-26 |
| 1760902910 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 532 Federal St, Camden, NJ 08103-1135 | 2017-06-20 |
| 1689052565 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 400 Market St Ste 200, Camden, NJ 08102-1526 | 2015-05-12 |
| 1366784357 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 145 Elm St, Camden, ME 04843-1908 | 2013-03-18 |
| 1053667097 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2626 Federal St., Camden, NJ 08105 | 2012-07-27 |
| 1023255502 | Alpha Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 12 N 26th St Unit A, Camden, NJ 08105-1114 | 2009-01-20 |
| 1679728109 | Medical Equipment of Camden | Durable Medical Equipment & Medical Supplies | 208 Claiborne St, Camden, AL 36726-1714 | 2008-11-25 |
| 1053431916 | Fairview Medical Equipment | Durable Medical Equipment & Medical Supplies | 1192 Yorkship Sq, Camden, NJ 08104-2805 | 2007-04-01 |
| 1568526382 | Chae Yim | Durable Medical Equipment & Medical Supplies | 217 S Broadway, Camden, NJ 08103-1207 | 2006-12-19 |
| 1912078494 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 35 Elm Street, Camden, ME 04843-1910 | 2006-11-13 |
| Find all providers in CAMDEN | ||||
Please comment or provide details below to improve the information on CCC MEDICAL EQUIPMENT INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.