Provider Demographics
NPI:1740503879
Name:COMPLETE MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:COMPLETE MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RIMON
Authorized Official - Middle Name:S
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-220-2393
Mailing Address - Street 1:2555 CROOKS RD STE 270
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4742
Mailing Address - Country:US
Mailing Address - Phone:248-220-2393
Mailing Address - Fax:248-633-7915
Practice Address - Street 1:2555 CROOKS RD STE 270
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4742
Practice Address - Country:US
Practice Address - Phone:248-220-2393
Practice Address - Fax:248-633-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies