CCC MEDICAL EQUIPMENT, INC. (NPI# 1750710331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750710331 |
| Entity Type | Organization |
| Organization Name | CCC MEDICAL EQUIPMENT, INC. |
| Practice Address |
205 Hospital Dr Mc Kenzie TN 38201-1649 |
| Mailing Address |
115 Vicksburg Ave Camden TN 38320-1613 |
| Practice Telephone | 7313526005 |
| Practice Fax Number | 7313526006 |
| Mailing Telephone | 7315847919 |
| Mailing Fax Number | 7315847920 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2014-07-31 |
| Authorized Official Name | MRS. BRENDA C MONTGOMERY (PRESIDENT/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 | 00000000878 | TN | Suppliers |
| 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 |
| 1093133860 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 19 Hospital Dr, Lexington, TN 38351-1422 | 2014-03-31 |
| 1497178693 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 136 S Wilson St, Dresden, TN 38225-1133 | 2014-01-24 |
| 1346402690 | Ccc Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320-1613 | 2008-06-27 |
| Street Address |
205 HOSPITAL DR |
| City | MC KENZIE |
| State | TN |
| Zip Code | 38201-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455287 | Bryan Hale Merrick | Internal Medicine | 205 Hospital Dr, Ste A, Mc Kenzie, TN 38201-1649 | 2005-05-24 |
| 1588111850 | Christy Michelle Dougherty | Nurse Practitioner | 205 Hospital Dr, Ste A, Mc Kenzie, TN 38201-1649 | 2016-09-05 |
| 1083079487 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 205 Hospital Dr, Suite Q, Mc Kenzie, TN 38201-1649 | 2015-12-30 |
| 1225400484 | Beth Mitchell Graves | Nurse Practitioner | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-10-28 |
| 1609253509 | Home Medical Products, Inc | Durable Medical Equipment & Medical Supplies | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-04-29 |
| 1164814158 | Laura Baker | Nurse Practitioner | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-02-27 |
| 1841696192 | Mckenzie Medical Center | Internal Medicine | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2014-11-14 |
| 1144644246 | Lori Beth Holladay | Nurse Practitioner | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2014-02-10 |
| 1013359538 | Kelly E Rawls | Physician Assistant | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2013-07-25 |
| 1033418447 | Advanced Diagnostic Center LLC | Clinic/Center | 205 Hospital Dr, Suite C, Mc Kenzie, TN 38201-1649 | 2011-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912410887 | Tester Chiropractic, Pllc | Chiropractor | 62 Hospital Dr, Mc Kenzie, TN 38201 | 2017-11-14 |
| 1669910907 | Sherry Denise Connell | Behavioral Analyst | 145 Bethel Court, Bethel Autism Institute, Mckenzie, TN 38201 | 2017-02-07 |
| 1891249645 | Jennifer Rene Jennings | Nurse Practitioner | 205 Hospital Drive, Suite A, Mckenzie, TN 38201 | 2016-08-10 |
| 1336525211 | One Chiropractic, Pllc | Chiropractor | 62 Hospital Dr., Mckenzie, TN 38201 | 2015-08-03 |
| 1538567367 | Ashley Tester | Chiropractor | One Chiropractic, 62 Hospital Drive, Mckenzie, TN 38201 | 2014-12-10 |
| 1407996762 | Trent Wade Borders | Radiology | 205 Hospital Drvie, Suite A, Mckenzie, TN 38201 | 2007-02-07 |
| 1740382944 | James D Padgett | Dentist | 1934 Cedar Sta, Mckenzie, TN 38201 | 2006-09-01 |
| 1164533733 | Ambulance Services of Mckenzie, Inc. | Ambulance | 161 Hospital Drive, Mckenzie, TN 38201 | 2006-08-31 |
| 1245894724 | Gyu Chang Jo | Nurse Practitioner | 205 Hospital Dr Ste A, Mc Kenzie, TN 38201 | 2019-04-30 |
| 1194244772 | Christian Care Center of Mckenzie LLC | Nursing Facility/Intermediate Care Facility | 150 Oak Manor Rd, Mc Kenzie, TN 38201 | 2017-09-14 |
| Find all providers in zip 38201 | ||||
| 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 |
|---|---|---|---|---|
| 1114442464 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14860 Highland Dr, Mc Kenzie, TN 38201-2606 | 2017-08-08 |
| 1609253509 | Home Medical Products, Inc | Durable Medical Equipment & Medical Supplies | 205 Hospital Dr, Suite A, Mc Kenzie, TN 38201-1649 | 2015-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999346 | Izzy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1706 Antioch Pike # A, Antioch, TN 37013-2717 | 2020-10-15 |
| 1144827437 | Gb 3445, LLC | Durable Medical Equipment & Medical Supplies | 10820 Kingston Pike Ste 6, Knoxville, TN 37934-3065 | 2020-10-08 |
| 1386241859 | Covenant Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave Ste 503, Knoxville, TN 37916-1823 | 2020-10-07 |
| 1346851730 | Esight Inc. | Durable Medical Equipment & Medical Supplies | 330 Mallory Station Rd Ste F19, Franklin, TN 37067-2861 | 2020-08-11 |
| 1457961401 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 750 Winfield Dunn Parkway, Suite 100, Sevierville, TN 37876 | 2020-08-05 |
| 1578173944 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 1111 Gallatin Ave, Nashville, TN 37206-3201 | 2020-07-31 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1568086049 | Limestone Medical LLC | Durable Medical Equipment & Medical Supplies | 1650 Murfreesboro Rd Ste 155, Franklin, TN 37067-5080 | 2020-06-01 |
| 1619590445 | Wayfarer, Inc. | Durable Medical Equipment & Medical Supplies | 1416 Antioch Pike Ste 101, Antioch, TN 37013-2766 | 2020-05-27 |
| 1467075838 | Yolanda S Draine | Durable Medical Equipment & Medical Supplies | 420 Monroe Ave # 1413, Memphis, TN 38103-3252 | 2020-05-20 |
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| 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.