Provider Demographics
NPI:1497841704
Name:CAPE MEDICAL, INC.
Entity Type:Organization
Organization Name:CAPE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:NEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-362-1552
Mailing Address - Street 1:PO BOX 3114
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28406-0114
Mailing Address - Country:US
Mailing Address - Phone:910-362-1552
Mailing Address - Fax:910-362-1089
Practice Address - Street 1:2732 OLD WRIGHTSBORO RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8037
Practice Address - Country:US
Practice Address - Phone:910-362-1552
Practice Address - Fax:910-362-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BC3200X, 332BX2000X
NC00930332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7701844Medicaid
NC1092890001Medicare NSC