1700136017 NPI number — MTS HEALTH SUPPLIES INC

Table of content: (NPI 1700136017)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700136017 NPI number — MTS HEALTH SUPPLIES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MTS HEALTH SUPPLIES 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:
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:
1700136017
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15870 EL PRADO RD STE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHINO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91708-9132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-279-2289
Provider Business Mailing Address Fax Number:
951-279-9989

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15870 EL PRADO RD STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91708-9132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-279-2289
Provider Business Practice Location Address Fax Number:
951-279-9989
Provider Enumeration Date:
09/13/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SALAYMEH
Authorized Official First Name:
GUS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
951-279-2289

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  49331 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 22568 . This is a "HOME MEDICAL DEVICE EXEMPTEE LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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