Provider Demographics
NPI:1710576137
Name:TC MEDICAL SUPPLIES AND EQUIPMENT LLC
Entity Type:Organization
Organization Name:TC MEDICAL SUPPLIES AND EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CORTLAND
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-523-7900
Mailing Address - Street 1:9304 E US HIGHWAY 40
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6111
Mailing Address - Country:US
Mailing Address - Phone:816-523-7901
Mailing Address - Fax:
Practice Address - Street 1:9304 E US HIGHWAY 40
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6111
Practice Address - Country:US
Practice Address - Phone:816-523-7901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies