Provider Demographics
NPI:1154489219
Name:ARIZONA CPM AND MEDICAL SUPPLIES, LLC.
Entity Type:Organization
Organization Name:ARIZONA CPM AND MEDICAL SUPPLIES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-535-9671
Mailing Address - Street 1:11824 N 144TH DR
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-4359
Mailing Address - Country:US
Mailing Address - Phone:623-535-9671
Mailing Address - Fax:623-535-9681
Practice Address - Street 1:11824 N 144TH DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-4359
Practice Address - Country:US
Practice Address - Phone:623-535-9671
Practice Address - Fax:623-535-9681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL-1302847-6332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies