Provider Demographics
NPI:1992858153
Name:CAE, INC
Entity Type:Organization
Organization Name:CAE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDDINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-764-5579
Mailing Address - Street 1:PO BOX 1332
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-1332
Mailing Address - Country:US
Mailing Address - Phone:256-764-5579
Mailing Address - Fax:256-764-7873
Practice Address - Street 1:240 HIGHWAY 31 SW
Practice Address - Street 2:SUITE 16
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2803
Practice Address - Country:US
Practice Address - Phone:256-773-8049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
AL900163332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5855230001Medicare NSC