Ultra Medical Supply

LBN: Ultra Medical Supply
Ultra Medical Supply is an health care organization with primary practice located at 1331 Baseline Rd Unit 2, Bullhead City AZ 86442-6719. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Ultra Medical Supply can be contacted via phone (718) 796-7555, or through Ungar, Ezriel via phone (718) 796-7555.

Contact Information

Primary practice address
1331 Baseline Rd Unit 2 Bullhead City AZ 86442-6719
Phone: (718) 796-7555
Fax: (516) 566-2395
Website:
Map and Directions
Authorized official contact:
Name: Ungar, Ezriel
Phone: (718) 796-7555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 21026176 Arizona

Profile Details

NPI number 1184024879
LBN Legal business name Ultra Medical Supply
DBA Doing business as
Authorized official Ungar, Ezriel
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2014
Last updated Sep 10th, 2014 - about 10 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 1184024879 NPPES
Arizona MEDICAID 898874

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