R. A. MEDICAL COMPANY NPI 1043316771

NPI Information

NPI: 1043316771
Provider Name: R. A. MEDICAL COMPANY
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
407 E PERKINS ST
UKIAH, CA
ZIP 95482
Phone: (707) 463-0160
Get Directions

R. A. MEDICAL COMPANY is an oxygen equipment and supplies durable medical equipment medical supplies in Ukiah, CA. R. A. MEDICAL COMPANY NPI is 1043316771. The provider is registered as an organization entity type.

The provider's business location address is:

407 E PERKINS ST
UKIAH, CA
ZIP 95482-506
Phone: (707) 463-0160
Fax: (707) 463-0532

The provider's authorized official is Noble Frederick Waidelich .
The authorized official title is Partner and has the following contact phone number (707) 463-0160.

The enumeration date for this NPI number is 9/16/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	CALIFORNIA	Yes
2	332B00000X	Durable Medical Equipment & Medical Supplies			X
3	335E00000X	Prosthetic/Orthotic Supplier			X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ97844Z	OTHER		BLUE SHIELD
2	DME00294H	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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