Provision Medical Supply

LBN: Provision Medical Supply
Provision Medical Supply is an health care organization with primary practice located at 777 W 19Th St Ste F , Costa Mesa CA 92627-6131. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Provision Medical Supply can be contacted via phone (949) 662-3933, or through Parke, Patrick via phone (949) 662-3933.

Contact Information

Primary practice address
777 W 19Th St Ste F Costa Mesa CA 92627-6131
Phone: (949) 662-3933
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parke, Patrick
Phone: (949) 662-3933

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1770055477
LBN Legal business name Provision Medical Supply
DBA Doing business as
Authorized official Parke, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2018
Last updated Jun 9th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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