1205246048 NPI number — ZI-MED SUPPLY CO., INC.

Table of content: (NPI 1205246048)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205246048 NPI number — ZI-MED SUPPLY CO., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ZI-MED SUPPLY CO., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205246048
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 N. OLIVE ST SUITE Q
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VENTURA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-667-2191
Provider Business Mailing Address Fax Number:
805-667-2135

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 N OLIVE ST STE Q
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VENTURA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93001-2570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-700-4246
Provider Business Practice Location Address Fax Number:
954-200-8730
Provider Enumeration Date:
05/01/2014

Additional Information

Authorized Official

Authorized Official Last Name:
JONES
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
800-700-4246

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3662168 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com