Kern Valley Medical Supply

LBN: Kern Valley Medical Supply
Kern Valley Medical Supply is an health care organization with primary practice located at 5213 Lake Isabella Blvd , Lake Isabella CA 93240-9642. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Kern Valley Medical Supply can be contacted via phone (760) 379-8111, or through Russell, Wendy June via phone (760) 379-8111.

Contact Information

Primary practice address
5213 Lake Isabella Blvd Lake Isabella CA 93240-9642
Phone: (760) 379-8111
Fax: (760) 379-1411
Website:
Map and Directions
Authorized official contact:
Name: Russell, Wendy June
Phone: (760) 379-8111

Health care specialties

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

Profile Details

NPI number 1023007762
LBN Legal business name Kern Valley Medical Supply
DBA Doing business as
Authorized official Russell, Wendy June
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2005
Last updated Aug 12th, 2008 - 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 1023007762 NPPES
California MEDICAID DME01806F

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