Edward Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

44097 Issued in CA

Legal business name

EDWARD MEDICAL SUPPLIES, INC.

Practice address

23639 Sunnymead Blvd
Suite H
Moreno Valley, CA 92553-7703

Phone

(951) 242-9798

Fax

(951) 242-9796

NPI assigned

Oct 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marta Tracy Hirsch

Title

President

Phone

(951) 242-9798

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1346325370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23639 SUNNYMEAD BLVD",
            "address_2": "SUITE H",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537703",
            "telephone_number": "951-242-9798",
            "fax_number": "951-242-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23639 SUNNYMEAD BLVD",
            "address_2": "SUITE H",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537703",
            "telephone_number": "951-242-9798",
            "fax_number": "951-242-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-242-9798"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.