Wallace Home Medical Supplies in Paso Robles - Durable Medical Equipment & Medical Supplies
Wallace Home Medical Supplies - NPI 1790947828
Wallace Home Medical Supplies is a Durable Medical Equipment & Medical Supplies in Paso Robles, California. Wallace Home Medical Supplies practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Wallace Home Medical Supplies is 1790947828. The last update date is 2013-06-17.
Wallace Home Medical Supplies's current location address is 549 10th St, Paso Robles, California. You can contact this provider via phone number 8052383935. The mailing address for Wallace Home Medical Supplies is 549 10th St, Paso Robles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wallace Home Medical Supplies |
|---|---|
| Address | 549 10th St, Paso Robles, California |
| Phone Number | 8052383935 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wallace Trago |
| Credentials | ATS |
| Telephone Number | 8052383935 |
NPI Number Detail
| NPI Number | 1790947828 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2013-06-17 |
Provider Mailing Address Detail
| Address | 549 10th St |
|---|---|
| City | Paso Robles |
| State | California (CA) |
| Post Code | 934462510 |
| Phone Number | 8052383935 |
| 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DME03195F | CA | -- | |
| ZZZ 08974 Z | CA | BLUE SHIELD |
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What is the Wallace Home Medical Supplies's unique identification number?
The Wallace Home Medical Supplies has been assigned the NPI (National Provider Identifier) Number 1790947828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Wallace Home Medical Supplies's physical address?
The Wallace Home Medical Supplies is physically located at 549 10Th St, in the city of Paso Robles, CA, with the postal code 934462510.
What is Wallace Home Medical Supplies's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wallace Home Medical Supplies is Durable Medical Equipment & Medical Supplies, and the taxonomy code that classifies this field of practice is 332B00000X.
On what date did the Wallace Home Medical Supplies receive the assignment of its 1790947828 from the Centers for Medicare & Medicaid Services?
The Wallace Home Medical Supplies was issued its 1790947828 by the Centers for Medicare & Medicaid Services on 2008-06-30.
When was the information regarding Wallace Home Medical Supplies most recently updated?
The details pertaining to the Wallace Home Medical Supplies, including its address, specialty, and other relevant information, were last refreshed on 2013-06-17.