Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1407843980 |
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| LBN Legal business name | COMMUNITY MEDICAL SUPPLY, INC. | ||||||||||||
| Authorized official | WENDY RUSSALESI - (CCO) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | Yes | ||||||||||||
| Enumeration date | 09/30/2005 | ||||||||||||
| Last updated | 10/13/2025 - About 8 months ago | ||||||||||||
| Identifiers |
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