Madison Home Pharmacy

LBN: Ampla Health
Madison Home Pharmacy is an health care organization with primary practice located at 2800 Lincoln Street Suite B, Oroville CA 95966. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ampla Health can be contacted via phone (530) 282-4146, or through Walker, Kathy via phone (530) 751-3736.

Contact Information

Primary practice address
2800 Lincoln Street Suite B Oroville CA 95966
Fax: (530) 282-4359
Website:
Authorized official contact:
Name: Walker, Kathy CPA

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1679970099
LBN Legal business name Ampla Health
DBA Doing business as Madison Home Pharmacy
Authorized official Walker, Kathy CPA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2014
Last updated May 24th, 2022 - about 2 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 1679970099 NPPES
California MEDICAID 1487157574
California Other 33157
California Other 49883
California Other 37553

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