Medi-Source Equipment & Supply Inc in Yucca Valley - Durable Medical Equipment & Medical Supplies
Medi-Source Equipment & Supply Inc - NPI 1821078577
Medi-Source Equipment & Supply Inc is a Durable Medical Equipment & Medical Supplies in Yucca Valley, California. Medi-Source Equipment & Supply Inc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Medi-Source Equipment & Supply Inc is 1821078577. The last update date is 2010-05-24.
Medi-Source Equipment & Supply Inc's current location address is Po Box 712, Yucca Valley, California. You can contact this provider via phone number 7603656389 and fax number 7603657016. The mailing address for Medi-Source Equipment & Supply Inc is Po Box 712, Yucca Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medi-Source Equipment & Supply Inc |
|---|---|
| Address | Po Box 712, Yucca Valley, California |
| Phone Number | 7603656389 |
| Fax Number | 7603657016 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Willman E Esta |
| Telephone Number | 7603656389 |
NPI Number Detail
| NPI Number | 1821078577 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2010-05-24 |
Provider Mailing Address Detail
| Address | Po Box 712 |
|---|---|
| City | Yucca Valley |
| State | California (CA) |
| Post Code | 922860712 |
| Phone Number | 7603656389 |
| Fax Number | 7603657016 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 53366 |
|
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 |
|---|---|---|---|
| DME02109F | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Medi-Source Equipment & Supply Inc by the Centers for Medicare & Medicaid Services?
The Medi-Source Equipment & Supply Inc has been issued the NPI (National Provider Identifier) 1821078577. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Medi-Source Equipment & Supply Inc?
The Medi-Source Equipment & Supply Inc is situated at Po Box 712, in the city of Yucca Valley, state of CA, with the zip code 922860712.
What is Medi-Source Equipment & Supply Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Medi-Source Equipment & Supply Inc's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821078577 to Medi-Source Equipment & Supply Inc?
The Centers for Medicare & Medicaid Services assigned the 1821078577 to Medi-Source Equipment & Supply Inc on 2006-01-19.
As of what date were the Medi-Source Equipment & Supply Inc's details last updated?
The information pertaining to the Medi-Source Equipment & Supply Inc, including its address, specialty, and other details, was most recently updated on 2010-05-24.
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