Organization
METRO-MED INC-VENTURA
Active
Other names
Quipt Home Medical Ventura
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J CRAWFORD (CEO)
(859) 441-8876
Entity
Organization
Contact information
Practice address
1400 GRAVES AVE, UNIT F, OXNARD, CA 93036
(805) 639-0202
(805) 639-0258
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
(859) 441-8876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100440
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
100440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03176F
—
CA
01
—
ZZZ133192
BLUE SHIELD PROVIDER #
CA
Enumeration date
09/22/2006
Last updated
04/11/2024
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