Broadway Medical Service & Supply, Inc

LBN: Broadway Medical Service & Supply, Inc
Broadway Medical Service & Supply, Inc is an health care organization with primary practice located at 1034 Broadway St , Eureka CA 95501-0126. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Broadway Medical Service & Supply, Inc can be contacted via phone (707) 442-3719, or through Biasca, Ronald A via phone (707) 442-3719.

Contact Information

Primary practice address
1034 Broadway St Eureka CA 95501-0126
Phone: (707) 442-3719
Fax: (707) 442-0237
Website:
Map and Directions
Authorized official contact:
Name: Biasca, Ronald A
Phone: (707) 442-3719

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X 332BX2000X California

Profile Details

NPI number 1457402497
LBN Legal business name Broadway Medical Service & Supply, Inc
DBA Doing business as
Authorized official Biasca, Ronald A
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 16th, 2007
Last updated Jan 9th, 2020 - about 4 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 1457402497 NPPES
California MEDICAID 1457402497

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