Cmv Home Medical Supplies, LLC
Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies in Caruthersville, MO. Organization (NPI-2).
NPI number1124354576
StatusActive
Last updated in NPPESMar 25, 2011
Details
- NPI
- 1124354576
- Entity type
- Organization (NPI-2)
- Legal business name
- Cmv Home Medical Supplies, LLC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2009
- Last updated
- Mar 25, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BX2000X | Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | 2001010194 | MO | Yes |
Practice location
825 W 3rd St Ste ACaruthersville, MO 63830-1236
Phone 537-333-3784 · Fax 573-333-3785
Mailing address
825 W 3rd St Ste ACaruthersville, MO 63830-1236
Phone 537-333-3784 · Fax 573-333-3785
Authorized official
William Jeffery Montgomery
Member
5733333784
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