Provider Demographics
NPI:1649323544
Name:CAIS, INC
Entity type:Organization
Organization Name:CAIS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BALCH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:301-723-2405
Mailing Address - Street 1:3 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1092
Mailing Address - Country:US
Mailing Address - Phone:301-723-2440
Mailing Address - Fax:301-724-1135
Practice Address - Street 1:3 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1092
Practice Address - Country:US
Practice Address - Phone:301-723-2440
Practice Address - Fax:301-724-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPW01283336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD150968300Medicaid
MD206532100Medicaid
WV0144309000Medicaid
MD0384550001Medicare NSC