Provider Demographics
NPI:1770599722
Name:C M HOME MEDICAL EQUIPMENT, INC
Entity type:Organization
Organization Name:C M HOME MEDICAL EQUIPMENT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:C
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-324-5273
Mailing Address - Street 1:1711 WARM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-8026
Mailing Address - Country:US
Mailing Address - Phone:706-324-5273
Mailing Address - Fax:706-324-4752
Practice Address - Street 1:1711 WARM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-8026
Practice Address - Country:US
Practice Address - Phone:706-324-5273
Practice Address - Fax:706-324-4752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00814855AMedicaid
GA1252130001Medicare ID - Type Unspecified