| Organization Name: | R. A. MEDICAL COMPANY |
| NPI Number: | 1043316771 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NOBLE FREDERICK WAIDELICH (PARTNER) |
| Mailing Address: | 407 E Perkins St Ukiah |
| State: | CA US |
| Postal Code: | 954824506 |
| Phone Number: | 7074630160 |
| Fax Number: | 7074630532 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |