# ADVANCED MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH FRESNO PRIMARY CARE INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164854527
- **Legal business name:** NORTH FRESNO PRIMARY CARE INC
- **Authorized official:** MR. RONNIE LEWIS (OWNER/CEO)
- **Authorized official phone:** (559) 289-1016

## Contact information

- **Practice address:** 1350 O ST STE 301, FRESNO, CA 93721-1828
- **Practice address phone:** (559) 289-1016
- **Practice address fax:** (559) 289-1016
- **Mailing address:** 1350 O ST STE 301, FRESNO, CA 93721-1828
- **Mailing address phone:** (559) 289-1016
- **Mailing address fax:** (559) 289-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | A113019 | CA | Yes |

## Other

- **Enumeration date:** 08/07/2013
- **Last updated:** 08/07/2013