Active Life Medical

LBN: Active Life Medical Management
Active Life Medical is an health care organization with primary practice located at 1018 Live Oak Blvd., Suite K , Yuba City CA 95991. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Active Life Medical Management can be contacted via phone (888) 525-0255, or through Souza, Jeffrey via phone (888) 525-0255.

Contact Information

Primary practice address
1018 Live Oak Blvd., Suite K Yuba City CA 95991
Phone: (888) 525-0255
Fax: (888) 525-0255
Website:
Map and Directions
Authorized official contact:
Name: Souza, Jeffrey
Phone: (888) 525-0255

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0201003378 Virginia
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1962415661
LBN Legal business name Active Life Medical Management
DBA Doing business as Active Life Medical
Authorized official Souza, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated May 13th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962415661 NPPES
Other 1526243 UMWA
Other 262513 UMWA
MEDICAID 1962415661 UMWA

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