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NORTHERN HOME MEDICAL INC NPI 1912936147


NPI Information

NPI: 1912936147
Provider Name: NORTHERN HOME MEDICAL, INC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
930 IDAHO MARYLAND RD
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 272-9021
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NORTHERN HOME MEDICAL, INC is an oxygen equipment and supplies durable medical equipment medical supplies in Grass Valley, CA. NORTHERN HOME MEDICAL, INC NPI is 1912936147. The provider is registered as an organization entity type.

The provider's business location address is:

930 IDAHO MARYLAND RD
GRASS VALLEY, CA
ZIP 95945-943
Phone: (530) 272-9021
Fax: (530) 272-2804

The provider's authorized official is Harold Antonucci .
The authorized official title is Ceo and has the following contact phone number (530) 272-9021.

The enumeration date for this NPI number is 7/1/2006 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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes

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
1DME00370GMEDICAIDCALIFORNIA

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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