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 899 Main St , Fortuna CA 95540-1925. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Broadway Medical Service & Supply, Inc can be contacted via phone (707) 725-6944, or through Biasca, Ronald Allan via phone (707) 442-3719.

Contact Information

Primary practice address
899 Main St Fortuna CA 95540-1925
Phone: (707) 725-6944
Fax: (707) 725-1655
Website:
Map and Directions
Authorized official contact:
Name: Biasca, Ronald Allan
Phone: (707) 442-3719

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 100211 California

Profile Details

NPI number 1851583538
LBN Legal business name Broadway Medical Service & Supply, Inc
DBA Doing business as
Authorized official Biasca, Ronald Allan
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 15th, 2007
Last updated Aug 15th, 2007 - about 17 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 1851583538 NPPES
California MEDICAID DME03117F

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