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FUNDAMENTAL MEDICAL SUPPLIES LLC NPI 1992963615


NPI Information

NPI: 1992963615
Provider Name: FUNDAMENTAL MEDICAL SUPPLIES LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4019 STAHL RD
STE 210
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 590-8800
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FUNDAMENTAL MEDICAL SUPPLIES LLC is a durable medical equipment medical supplies in San Antonio, 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. FUNDAMENTAL MEDICAL SUPPLIES LLC NPI is 1992963615. The provider is registered as an organization entity type.

The provider's business location address is:

4019 STAHL RD
STE 210
SAN ANTONIO, TX
ZIP 78217-669
Phone: (210) 590-8800
Fax: (210) 200-6047

The provider's authorized official is Kimberly Saeger .
The authorized official title is Manager and has the following contact phone number (210) 590-8800.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 11/18/2008.


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 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
16127330001MEDICARE NSCTEXAS

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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