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Organization

BROADWAY MEDICAL SERVICE & SUPPLY, INC

Active
Parent organization
DARR-B CORP
Organization subpart
Yes

Provider details

NPI number
Legal business name
DARR-B CORP
Authorized official
MR. RONALD A BIASCA (PRESIDENT)
(707) 442-3719
Entity
Organization

Contact information

Practice address
1034 BROADWAY ST, EUREKA, CA 95501-0126
(707) 442-3719
(707) 442-0237
Mailing address
1034 BROADWAY ST, EUREKA, CA 95501-0126
(707) 442-3719
(707) 442-0237

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
332BX2000X
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457402497
CA
Enumeration date
01/16/2007
Last updated
01/09/2020
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