Provider Demographics
NPI:1417957390
Name:M M E AND SUPPLIES INC
Entity Type:Organization
Organization Name:M M E AND SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CADLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-250-3885
Mailing Address - Street 1:3731 E 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48091-3722
Mailing Address - Country:US
Mailing Address - Phone:800-250-3885
Mailing Address - Fax:586-756-5412
Practice Address - Street 1:3731 E 10 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48091-3722
Practice Address - Country:US
Practice Address - Phone:800-250-3885
Practice Address - Fax:586-756-5412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5301007884332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3442991Medicaid
MI71020000E00726OtherBCBSM
MI71020000E00726OtherBCBSM