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MI-MED SUPPLY CO. INC. NPI 1578678223


NPI Information

NPI: 1578678223
Provider Name: MI-MED SUPPLY CO., INC.

Doing Business As: EXPEREA HEALTHCARE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1390 DECISION ST STE B
VISTA, CA
ZIP 92081
Phone: (760) 734-6648
Get Directions

MI-MED SUPPLY CO., INC. is a durable medical equipment medical supplies in Vista, 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. MI-MED SUPPLY CO., INC. NPI is 1578678223. The provider is registered as an organization entity type.
The provider Is Doing Business As Experea Healthcare.

The provider's business location address is:

1390 DECISION ST STE B
VISTA, CA
ZIP 92081
Phone: (760) 734-6648
Fax: (772) 212-4904

The provider's authorized official is Gary R. Bang .
The authorized official title is President & Director and has the following contact phone number (772) 240-7609.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 5/6/2019.


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 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
11578678223MEDICAIDCALIFORNIA
21578678223MEDICAIDNEVADA
31622191MEDICAIDALASKA
41578678223MEDICAIDWASHINGTON
5Q029227MEDICAIDTENNESSEE
61578678223MEDICAIDUTAH

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

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