Medi-Source Equipment & Supply Inc

LBN: Medi-Source Equipment & Supply Inc
Medi-Source Equipment & Supply Inc is an health care organization with primary practice located at 57725 Twentynine Palms Hwy Suite 402, Yucca Valley CA 92284-3046. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Medi-Source Equipment & Supply Inc can be contacted via phone (760) 365-6389, or through Willman, Esta E via phone (760) 365-6389.

Contact Information

Primary practice address
57725 Twentynine Palms Hwy Suite 402 Yucca Valley CA 92284-3046
Phone: (760) 365-6389
Fax: (760) 365-7016
Website:
Map and Directions
Authorized official contact:
Name: Willman, Esta E
Phone: (760) 365-6389

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 53366 California

Profile Details

NPI number 1821078577
LBN Legal business name Medi-Source Equipment & Supply Inc
DBA Doing business as
Authorized official Willman, Esta E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated May 24th, 2010 - about 14 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 1821078577 NPPES
California MEDICAID DME02109F

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