Provider Demographics
NPI:1346521952
Name:C & M SPECIALIZED ENTERPRISES, INC.
Entity Type:Organization
Organization Name:C & M SPECIALIZED ENTERPRISES, INC.
Other - Org Name:CARE TRAK NORTHEAST
Other - Org Type:Other Name
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-467-3496
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:LYNDONVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05851-0225
Mailing Address - Country:US
Mailing Address - Phone:802-467-3496
Mailing Address - Fax:802-467-3496
Practice Address - Street 1:1211 WHEELOCK RD
Practice Address - Street 2:
Practice Address - City:SUTTON
Practice Address - State:VT
Practice Address - Zip Code:05867-9670
Practice Address - Country:US
Practice Address - Phone:802-467-3496
Practice Address - Fax:802-467-3496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment