PRIORITY MEDICAL SUPPLY INC. NPI 1629068564

NPI Information

NPI: 1629068564
Provider Name: PRIORITY MEDICAL SUPPLY INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
23763 W SECOND AVENUE
STEVINSON, CA
ZIP 95374
Phone: (209) 668-8723
Get Directions

PRIORITY MEDICAL SUPPLY INC. is a durable medical equipment medical supplies in Stevinson, 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. PRIORITY MEDICAL SUPPLY INC. NPI is 1629068564. The provider is registered as an organization entity type.

The provider's business location address is:

23763 W SECOND AVENUE
STEVINSON, CA
ZIP 95374-998
Phone: (209) 668-8723
Fax: (209) 669-6135

The provider's authorized official is Joe L Lewis .
The authorized official title is President and has the following contact phone number (209) 668-8723.

The enumeration date for this NPI number is 10/23/2005 and was last updated on 2/8/2024.

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	332B00000X	Durable Medical Equipment & Medical Supplies		102914	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	ZZZ06950Z	OTHER	CALIFORNIA	BLUE SHIELD PROVIDER NUMB
2	=========	OTHER	CALIFORNIA	BLUE CROSS PROVIDER NUMBE
3	=========	OTHER	CALIFORNIA	TRICARE PROVIDER NUMBER
4	DME03118F	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: 5/5/2024

NPI Synchronization or Removal

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