Organization
ABACUS MEDICAL EQUIPMENT SUPPLY, INC.
Active
Other names
Abacus Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY J SMITH (CHIEF EXECUTIVE OFFICER)
(916) 965-4352
Entity
Organization
Contact information
Practice address
8510 MADISON AVE, SUITE D, FAIR OAKS, CA 95628-3809
(916) 965-4352
(916) 965-5723
Mailing address
8510 MADISON AVE, SUITE D, FAIR OAKS, CA 95628-3809
(916) 965-4352
(916) 965-5723
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
315938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02906F
—
CA
Enumeration date
10/25/2006
Last updated
08/22/2020
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