Provider Demographics
NPI:1447788823
Name:CUSTOM MEDICAL SOLUTIONS INC
Entity Type:Organization
Organization Name:CUSTOM MEDICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUENNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-426-2747
Mailing Address - Street 1:10770 MIDWEST INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-1610
Mailing Address - Country:US
Mailing Address - Phone:314-426-2747
Mailing Address - Fax:314-428-5500
Practice Address - Street 1:10770 MIDWEST INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1610
Practice Address - Country:US
Practice Address - Phone:314-426-2747
Practice Address - Fax:314-428-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment