Provider Demographics
NPI:1255422705
Name:CHS MEDICAL SUPPLY CORP
Entity type:Organization
Organization Name:CHS MEDICAL SUPPLY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LUDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-773-5329
Mailing Address - Street 1:18121 EAST EIGHT MILE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021
Mailing Address - Country:US
Mailing Address - Phone:586-773-5329
Mailing Address - Fax:586-773-5212
Practice Address - Street 1:18121 EAST EIGHT MILE RD
Practice Address - Street 2:ST 110
Practice Address - City:EASTPOINTE
Practice Address - State:MI
Practice Address - Zip Code:48021
Practice Address - Country:US
Practice Address - Phone:586-773-5329
Practice Address - Fax:586-773-5212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies