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ULTIMA MEDICAL SUPPLY LLC NPI 1578873287


NPI Information

NPI: 1578873287
Provider Name: ULTIMA MEDICAL SUPPLY LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1231 AGNES ST STE A2
CORPUS CHRISTI, TX
ZIP 78401
Phone: (361) 883-1005
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ULTIMA MEDICAL SUPPLY LLC is a durable medical equipment medical supplies in Corpus Christi, TX. 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. ULTIMA MEDICAL SUPPLY LLC NPI is 1578873287. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1231 AGNES ST STE A2
CORPUS CHRISTI, TX
ZIP 78401
Phone: (361) 883-1005
Fax: (361) 883-1080

The provider's authorized official is Bassam Almouie .
The authorized official title is Owner and has the following contact phone number (361) 883-1005.

The enumeration date for this NPI number is 10/15/2010 and was last updated on 1/27/2020.


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
1171WH0202XContractorHome ModificationsNo
2332B00000XDurable 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
1288911502MEDICAIDTEXAS
2288911501MEDICAIDTEXAS

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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