Peninsula Medical, Inc.

LBN: Peninsula Biomedical, Inc.
Peninsula Medical, Inc. is an health care organization with primary practice located at 15 Camp Evers Ln , Scotts Valley CA 95066-4128. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Peninsula Biomedical, Inc. can be contacted via phone (831) 430-9066, or through Criswell, Amanda via phone (831) 430-9066.

Contact Information

Primary practice address
15 Camp Evers Ln Scotts Valley CA 95066-4128
Phone: (831) 430-9066
Fax: (831) 430-9068
Website:
Map and Directions
Authorized official contact:
Name: Criswell, Amanda
Phone: (831) 430-9066

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 1196930001 California

Profile Details

NPI number 1376629998
LBN Legal business name Peninsula Biomedical, Inc.
DBA Doing business as Peninsula Medical, Inc.
Authorized official Criswell, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 22nd, 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 1376629998 NPPES
Michigan MEDICAID 4549517
Michigan MEDICAID 82712600
Michigan MEDICAID 9048612
Michigan MEDICAID 29401372
Michigan MEDICAID 2107491
Michigan MEDICAID 9102475

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