Provider Demographics
NPI:1184672305
Name:CAPITAL MEDICAL SYSTEMS LLC
Entity Type:Organization
Organization Name:CAPITAL MEDICAL SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-978-8819
Mailing Address - Street 1:3568 LORNA RIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5247
Mailing Address - Country:US
Mailing Address - Phone:205-978-8819
Mailing Address - Fax:205-978-8815
Practice Address - Street 1:3568 LORNA RIDGE DRIVE
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5247
Practice Address - Country:US
Practice Address - Phone:205-978-8819
Practice Address - Fax:205-978-8815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL06011501332B00000X
AL10003872332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51507505OtherBLUE CROSS & BLUE SHIELD
AL=========OtherFEDERAL TAX IDENTIFIER