Provider Demographics
NPI:1306224498
Name:CUMBERLAND MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:CUMBERLAND MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHMIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-267-5514
Mailing Address - Street 1:PO BOX 2457
Mailing Address - Street 2:
Mailing Address - City:KINGSLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31548-2457
Mailing Address - Country:US
Mailing Address - Phone:912-729-5538
Mailing Address - Fax:
Practice Address - Street 1:104 LAKESHORE DR STE C
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-3809
Practice Address - Country:US
Practice Address - Phone:912-729-5538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0300510001Medicare NSC