Air-Way Medical, Inc.
Organization Active NPI Oxygen Equipment & Supplies (DME) · Bishop, CA
NPI 1902865694 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1902865694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- AIR-WAY MEDICAL, INC.
- Practice address
- 437 E Line St
Bishop, CA 93514-3505 - Phone
- (760) 872-1117
- Fax
- (760) 872-3898
- NPI assigned
- Mar 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Patrick J Costa
- Title
- Ceo
- Phone
- (559) 412-2793
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Air Way Medical |
Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Neuromuscular E… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075917 | CA | DME Supplier - Medical Supply Company |
3173640414 | Practice locations: Bishop, CA |
National Provider Directory
Locations
437 E Line St
Bishop, CA 93514
Phone (760) 872-1117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | CA | Yes |
Addresses
Primary practice location
437 E Line St
Bishop, CA 93514-3505
Mailing address
PO Box 568
Bishop, CA 93515-0568
Phone (760) 872-1117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME00556F | Medicaid | CA |
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All providers in Bishop, CA · Oxygen Equipment & Supplies (DME) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.