CCC MEDICAL EQUIPMENT, INC. (NPI# 1093133860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093133860 |
| Entity Type | Organization |
| Organization Name | CCC MEDICAL EQUIPMENT, INC. |
| Practice Address |
19 Hospital Dr Lexington TN 38351-1422 |
| Mailing Address |
115 Vicksburg Ave Camden TN 38320-1613 |
| Practice Telephone | 7312490297 |
| Practice Fax Number | 7312499199 |
| Mailing Telephone | 7315847919 |
| Mailing Fax Number | 7315847920 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | BRENDA C 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 | 878 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1525939 | 05 |
| 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 |
| 1497178693 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 136 S Wilson St, Dresden, TN 38225-1133 | 2014-01-24 |
| 1750710331 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 205 Hospital Dr, Mc Kenzie, TN 38201-1649 | 2013-11-05 |
| 1346402690 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320-1613 | 2008-06-27 |
| Street Address |
19 HOSPITAL DR |
| City | LEXINGTON |
| State | TN |
| Zip Code | 38351-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982081774 | Home Medical Products, Inc | Durable Medical Equipment & Medical Supplies | 19 Hospital Dr, Lexington, TN 38351-1422 | 2015-04-30 |
| 1952532822 | Cornerstone Health Systems, LLC | Durable Medical Equipment & Medical Supplies | 19 Hospital Dr, Lexington, TN 38351-1422 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417594482 | Kevin B Record | Counselor | 844 Natchez Trace Dr, Lexington, TN 38351 | 2019-12-09 |
| 1659627388 | Candace S Willis | Nurse Practitioner | 864 W Church St Ste A, Lexington, TN 38351 | 2012-07-31 |
| 1356650329 | Robert W Spain | Pharmacist | 654 West Church St, Lexington, TN 38351 | 2010-09-24 |
| 1699944819 | Cynthia Williams | Physical Therapy Assistant | 52 First St, Lexington, TN 38351 | 2008-02-21 |
| 1588703615 | Pansy Hayes Davis | Preventive Medicine | 90 Rush St, Lexington, TN 38351 | 2007-02-05 |
| 1467505958 | Tara Hendrix | Nurse Practitioner | 9550 Hwy 412w Suite C, Lexington, TN 38351 | 2007-01-19 |
| 1760532923 | State of Tennessee | Public Health or Welfare | 90 Rush Street, Lexington, TN 38351 | 2007-01-11 |
| 1154402667 | Professional Arts Pharmacy, LLC | Pharmacy | 270 West Church St Suite C, Lexington, TN 38351 | 2006-10-18 |
| 1891881090 | Jones Pharmacy, LLC | Pharmacy | 101 Lexington Plaza, Lexington, TN 38351 | 2006-10-05 |
| 1366453060 | Tommy Wayne Page | Dentist | 104 Lexington Plaza, Lexington, TN 38351 | 2006-08-10 |
| Find all providers in zip 38351 | ||||
| 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 |
|---|---|---|---|---|
| 1124646633 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1030 Monarch St Ste P1, Lexington, KY 40513-1843 | 2020-07-10 |
| 1902425655 | Mercy LLC | Durable Medical Equipment & Medical Supplies | 501 Darby Creek Rd Ste 5, Lexington, KY 40509-1605 | 2020-04-13 |
| 1780215202 | Hbg Solutions LLC | Durable Medical Equipment & Medical Supplies | 415 Chinoe Rd, Lexington, KY 40502-2351 | 2020-02-03 |
| 1619532264 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 500 S Upper St, Lexington, KY 40508-2920 | 2019-05-08 |
| 1205313517 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5441 Platt Springs Rd, Lexington, SC 29073-9260 | 2018-07-20 |
| 1184110231 | Interventional Pain & Spine Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2700 Old Rosebud Rd Ste 350, Lexington, KY 40509-8630 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1477055499 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 393 Waller Ave Ste 5, Lexington, KY 40504-2914 | 2018-03-06 |
| 1013421486 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 881 Nandino Blvd Ste 7, Lexington, KY 40511-1238 | 2017-11-21 |
| 1376054213 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 3650 Boston Rd Ste 110, Lexington, KY 40514-1564 | 2017-10-18 |
| Find all providers in LEXINGTON | ||||
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.