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Contact Information

CDM SUPPLY, LLC
N50W13740 OVERVIEW DR
SUITE B
MENOMONEE FALLS, WI53051-7062
 Phone: 262-781-7690
 Fax: 262-781-7692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CDM SUPPLY, LLC

NPI # 1437356508
LBN Legal business name CDM SUPPLY, LLC
Authorized official DALE RUNGE - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2007
Last updated 12/18/2007 - About 18 years ago
Identifiers
WI Medicaid 41569100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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