Peninsula Medical, Inc.

LBN: Peninsula Biomedical, Inc.
Peninsula Medical, Inc. is an health care organization with primary practice located at 108 Whispering Pines Dr Suite 115, Scotts Valley CA 95066-4792. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Peninsula Biomedical, Inc. can be contacted via phone (831) 430-9066, or through Hafner, Anndee via phone (831) 430-9066.

Contact Information

Primary practice address
108 Whispering Pines Dr Suite 115 Scotts Valley CA 95066-4792
Phone: (831) 430-9066
Fax: (831) 430-9068
Website:
Map and Directions
Authorized official contact:
Name: Hafner, Anndee
Phone: (831) 430-9066

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X 2676 California

Profile Details

NPI number 1386795011
LBN Legal business name Peninsula Biomedical, Inc.
DBA Doing business as Peninsula Medical, Inc.
Authorized official Hafner, Anndee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 19th, 2017 - about 7 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 1386795011 NPPES
Michigan MEDICAID 4549517
Michigan MEDICAID 82712600
Michigan MEDICAID 2107491
Michigan MEDICAID 29401372
Michigan MEDICAID 8129631-00
Michigan MEDICAID 9048612
Michigan MEDICAID 9102475
Michigan MEDICAID 807375000

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