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LODI SICK ROOM SUPPLY INC NPI 1417978065


NPI Information

NPI: 1417978065
Provider Name: LODI SICK ROOM SUPPLY INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
340 S FAIRMONT AVE
LODI, CA
ZIP 95240
Phone: (209) 369-3641
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LODI SICK ROOM SUPPLY INC is a durable medical equipment medical supplies in Lodi, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LODI SICK ROOM SUPPLY INC NPI is 1417978065. The provider is registered as an organization entity type.

The provider's business location address is:

340 S FAIRMONT AVE
LODI, CA
ZIP 95240-802
Phone: (209) 369-3641
Fax: (209) 369-4618

The provider's authorized official is Judy Canepa .
The authorized official title is President and has the following contact phone number (209) 369-3641.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesZZZ49755ZCALIFORNIAYes
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentZZZ49755ZCALIFORNIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ49755ZMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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