Livermore Medical Supply in Stockton - Durable Medical Equipment & Medical Supplies
Livermore Medical Supply - NPI 1689611063
Livermore Medical Supply is a Durable Medical Equipment & Medical Supplies in Stockton, California. Livermore Medical Supply practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Livermore Medical Supply is 1689611063. The last update date is 2007-11-23.
Livermore Medical Supply's current location address is 4555 N Pershing Ave, Stockton, California. You can contact this provider via phone number 2094750979 and fax number 2094720505. The mailing address for Livermore Medical Supply is 4555 N Pershing Ave, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Livermore Medical Supply |
|---|---|
| Address | 4555 N Pershing Ave, Stockton, California |
| Phone Number | 2094750979 |
| Fax Number | 2094720505 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rothrock E Stuart |
| Telephone Number | 2094750979 |
NPI Number Detail
| NPI Number | 1689611063 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2007-11-23 |
Provider Mailing Address Detail
| Address | 4555 N Pershing Ave |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952076740 |
| Phone Number | 2094750979 |
| Fax Number | 2094720505 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
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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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What is the unique 10-digit identifier code issued to Livermore Medical Supply by the Centers for Medicare & Medicaid Services?
The Livermore Medical Supply has been assigned the NPI (National Provider Identifier) 1689611063 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Livermore Medical Supply?
The Livermore Medical Supply is situated at 4555 N Pershing Ave, in the city of Stockton, state of CA, with the zip code 952076740.
What is Livermore Medical Supply's specialized field of practice, and what is the corresponding taxonomy classification code?
The Livermore Medical Supply's area of specialization is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this field of practice is 332B00000X.
When did the Livermore Medical Supply receive its 1689611063?
The Livermore Medical Supply was issued its 1689611063 on 2006-06-02, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Livermore Medical Supply, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Livermore Medical Supply, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-23.