COVENANT MEDICAL SUPPLY INC. NPI 1205905718

NPI Information

NPI: 1205905718
Provider Name: COVENANT MEDICAL SUPPLY, INC.

Doing Business As: CMS, INC.

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
351 WILKERSON AVE
SUITE A
PERRIS, CA
ZIP 92570
Phone: (951) 943-3900
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COVENANT MEDICAL SUPPLY, INC. is a customized equipment durable medical equipment medical supplies in Perris, CA. COVENANT MEDICAL SUPPLY, INC. NPI is 1205905718. The provider is registered as an organization entity type.
The provider Is Doing Business As Cms, Inc..

The provider's business location address is:

351 WILKERSON AVE
SUITE A
PERRIS, CA
ZIP 92570-203
Phone: (951) 943-3900
Fax: (951) 943-3939

The provider's authorized official is Lloyd Udonwa Nsek .
The authorized official title is Chief Executive Officer and has the following contact phone number (909) 815-5635.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 5/14/2008.

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 Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	47574	CALIFORNIA	Yes

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	6028690001	MEDICARE NSC	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: 11/14/2023

NPI Synchronization or Removal

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