1346381332 NPI number — CUMBERLAND MEDICAL EQUIPMENT INC.

Table of content: NICHOLAS SMILEY DDS, MD (NPI 1952762130)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346381332 NPI number — CUMBERLAND MEDICAL EQUIPMENT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CUMBERLAND MEDICAL EQUIPMENT INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346381332
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
498 WANDO PARK BLVD STE 1150
Provider Second Line Business Mailing Address:
1150
Provider Business Mailing Address City Name:
MT PLEASANT
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29464-7971
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-345-2036
Provider Business Mailing Address Fax Number:
844-315-5102

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
498 WANDO PARK BLVD STE 1150
Provider Second Line Business Practice Location Address:
1150
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29464-7971
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
844-345-2036
Provider Business Practice Location Address Fax Number:
844-315-5102
Provider Enumeration Date:
02/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CHMIEL
Authorized Official First Name:
ANDREW
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
844-647-7621

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000344869A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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