Provider Demographics
NPI:1437401882
Name:CAPE MED EXPRESS, LLC
Entity Type:Organization
Organization Name:CAPE MED EXPRESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-262-3077
Mailing Address - Street 1:PO BOX 4336
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28406-1336
Mailing Address - Country:US
Mailing Address - Phone:910-399-2456
Mailing Address - Fax:910-399-2769
Practice Address - Street 1:2725 OLD WRIGHTSBORO RD
Practice Address - Street 2:SUITE 4E
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8065
Practice Address - Country:US
Practice Address - Phone:910-399-2456
Practice Address - Fax:910-399-2769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies