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Organization

AIR-WAY MEDICAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK J COSTA (CEO)
(559) 412-2793
Entity
Organization

Contact information

Practice address
437 E LINE ST, BISHOP, CA 93514-3505
(760) 872-1117
(760) 872-3898
Mailing address
PO BOX 568, BISHOP, CA 93515-0568
(760) 872-1117
(760) 872-3898

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DME00556F
CA
Enumeration date
03/21/2006
Last updated
10/18/2023
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