Provider Demographics
NPI:1336447242
Name:COMMUNITY CHOICE MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:COMMUNITY CHOICE MEDICAL SUPPLIES
Other - Org Name:COMMUNITY CHOICE MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:WORLDS
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:757-449-0464
Mailing Address - Street 1:PO BOX 8014
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-8014
Mailing Address - Country:US
Mailing Address - Phone:757-449-0464
Mailing Address - Fax:757-233-9775
Practice Address - Street 1:1333 CARRSVILLE HIGHWAY
Practice Address - Street 2:
Practice Address - City:ISLE OF WIGHT COUNTY
Practice Address - State:VA
Practice Address - Zip Code:23851
Practice Address - Country:US
Practice Address - Phone:757-449-0464
Practice Address - Fax:757-233-9775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies