Organization
PRIORITY MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE L LEWIS (PRESIDENT)
(209) 668-8723
Entity
Organization
Contact information
Practice address
23763 W SECOND AVENUE, STEVINSON, CA 95374-9998
(209) 668-8723
(209) 669-6135
Mailing address
PO BOX 8, STEVINSON, CA 95374-0008
(209) 668-8723
(209) 669-6135
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102914
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
BLUE CROSS PROVIDER NUMBE
CA
05
—
DME03118F
—
CA
01
—
ZZZ06950Z
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
10/23/2005
Last updated
04/28/2026
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