Provider Demographics
NPI:1053500371
Name:COMMUNITY MEDICAL EQUIPMENT & SERVICES INC
Entity Type:Organization
Organization Name:COMMUNITY MEDICAL EQUIPMENT & SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERICA
Authorized Official - Middle Name:TEKINA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-202-0908
Mailing Address - Street 1:504 E ELIZABETH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-4472
Mailing Address - Country:US
Mailing Address - Phone:252-202-0908
Mailing Address - Fax:
Practice Address - Street 1:504 E ELIZABETH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4404
Practice Address - Country:US
Practice Address - Phone:252-202-0908
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332S00000XSuppliersHearing Aid Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier