Organization Name: | EDWARD MEDICAL SUPPLIES, INC. |
NPI Number: | 1346325370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTA TRACY HIRSCH (PRESIDENT) |
Mailing Address: | 23639 Sunnymead Blvd Suite H Moreno Valley |
State: | CA US |
Postal Code: | 925537703 |
Phone Number: | 9512429798 |
Fax Number: | 9512429796 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 09/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 44097 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |