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LIVE WELL MEDICAL SUPPLIES INC NPI 1235527250


NPI Information

NPI: 1235527250
Provider Name: LIVE WELL MEDICAL SUPPLIES, INC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
7338 SYCAMORE CANYON BLVD
SUITE 1
RIVERSIDE, CA
ZIP 92508
Phone: (951) 656-3700
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LIVE WELL MEDICAL SUPPLIES, INC is a non emergency medical transport van in Riverside, CA. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. LIVE WELL MEDICAL SUPPLIES, INC NPI is 1235527250. The provider is registered as an organization entity type.

The provider's business location address is:

7338 SYCAMORE CANYON BLVD
SUITE 1
RIVERSIDE, CA
ZIP 92508-334
Phone: (951) 656-3700
Fax: (951) 697-5866

The provider's authorized official is Brian Kieth Sirko .
The authorized official title is President/ceo and has the following contact phone number (951) 656-3700.

The enumeration date for this NPI number is 12/29/2014 and was last updated on 12/29/2014.


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
1343900000XNon-emergency Medical Transport (VAN)1230445CALIFORNIAYes

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
16685180001MEDICARE NSC

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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