Prime Medical Supply Inc

LBN: Prime Medical Supply Inc
Prime Medical Supply Inc is an health care organization with primary practice located at 1261 Carbide Dr , Corona CA 92881-7269. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Prime Medical Supply Inc can be contacted via phone (951) 278-9111, or through Davis, N J via phone (951) 278-9111.

Contact Information

Primary practice address
1261 Carbide Dr Corona CA 92881-7269
Phone: (951) 278-9111
Fax: (951) 278-9909
Website:
Map and Directions
Authorized official contact:
Name: Davis, N J RN PHN MSN
Phone: (951) 278-9111

Health care specialties

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

Profile Details

NPI number 1083612022
LBN Legal business name Prime Medical Supply Inc
DBA Doing business as
Authorized official Davis, N J RN PHN MSN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 25th, 2009 - about 15 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 1083612022 NPPES
California MEDICAID DME02170F

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