Experea Healthcare

LBN: Mi-Med Supply Co., Inc.
Experea Healthcare is an health care organization with primary practice located at 1390 Decision St Ste B , Vista CA 92081. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Mi-Med Supply Co., Inc. can be contacted via phone (760) 734-6648, or through Vestal, Emily M via phone (866) 897-8588.

Contact Information

Primary practice address
1390 Decision St Ste B Vista CA 92081
Phone: (760) 734-6648
Fax: (772) 607-5274
Website:
Map and Directions
Authorized official contact:
Name: Vestal, Emily M
Phone: (866) 897-8588

Health care specialties

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

Profile Details

NPI number 1578678223
LBN Legal business name Mi-Med Supply Co., Inc.
DBA Doing business as Experea Healthcare
Authorized official Vestal, Emily M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated May 16th, 2023 - about last year

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 1578678223 NPPES
California MEDICAID 1578678223
California MEDICAID 1578678223
California MEDICAID Q029227
California MEDICAID 1578678223
California MEDICAID 1578678223
California MEDICAID 1622191

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