St. Mary Medical Group, Llc in Idyllwild - Durable Medical Equipment & Medical Supplies
St. Mary Medical Group, Llc - NPI 1477760379
St. Mary Medical Group, Llc is a Durable Medical Equipment & Medical Supplies in Idyllwild, California. St. Mary Medical Group, Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for St. Mary Medical Group, Llc is 1477760379. The last update date is 2018-12-26.
St. Mary Medical Group, Llc's current location address is 54391 Village Center Dr # 6, Idyllwild, California. You can contact this provider via phone number 9516592135. The mailing address for St. Mary Medical Group, Llc is 54391 Village Center Dr # 6, Idyllwild, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Mary Medical Group, Llc |
|---|---|
| Address | 54391 Village Center Dr # 6, Idyllwild, California |
| Phone Number | 9516592135 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | La Ponza Mario James |
| Credentials | PHARM.D |
| Telephone Number | 9516592135 |
NPI Number Detail
| NPI Number | 1477760379 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2018-12-26 |
Provider Mailing Address Detail
| Address | 54391 Village Center Dr # 6 |
|---|---|
| City | Idyllwild |
| State | California (CA) |
| Post Code | 925499997 |
| Phone Number | 9516592135 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PHA196710 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to St. Mary Medical Group, Llc by the Centers for Medicare & Medicaid Services?
The St. Mary Medical Group, Llc has been assigned the NPI (National Provider Identifier) 1477760379 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of St. Mary Medical Group, Llc?
The St. Mary Medical Group, Llc is physically situated at 54391 Village Center Dr # 6, in the city of Idyllwild, state of CA, with the postal code 925499997.
What is St. Mary Medical Group, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for St. Mary Medical Group, Llc is Durable Medical Equipment & Medical Supplies, and the taxonomy code that categorizes this field of expertise is 332B00000X.
When did St. Mary Medical Group, Llc receive its 1477760379 assignment?
The St. Mary Medical Group, Llc was assigned its 1477760379 on 2007-05-17, which is the date when this unique identifier was issued to the organization.
As of what date were the St. Mary Medical Group, Llc's details last updated?
The information pertaining to the St. Mary Medical Group, Llc, including its address, specialty, and other details, was most recently updated on 2018-12-26.
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