Provider Demographics
NPI:1750609202
Name:CASCADE MEDICAL SUPPLY, INC.
Entity type:Organization
Organization Name:CASCADE MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HIRSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-771-8839
Mailing Address - Street 1:PO BOX 681646
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-1646
Mailing Address - Country:US
Mailing Address - Phone:615-771-8839
Mailing Address - Fax:615-771-8849
Practice Address - Street 1:9301 GLOBE CENTER DR
Practice Address - Street 2:SUITE 110
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6203
Practice Address - Country:US
Practice Address - Phone:919-484-8852
Practice Address - Fax:919-544-9703
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASCADE MEDICAL SUPPLY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-07
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition