Provider Demographics
NPI:1265511547
Name:COMMUNITY MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:COMMUNITY MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAYSDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-272-9900
Mailing Address - Street 1:PO BOX 3576
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28359-3576
Mailing Address - Country:US
Mailing Address - Phone:910-272-9900
Mailing Address - Fax:910-671-1983
Practice Address - Street 1:480 E 9TH ST
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-4880
Practice Address - Country:US
Practice Address - Phone:910-272-9900
Practice Address - Fax:910-671-1983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC332BX2000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5824390001Medicare NSC