Provider Demographics
NPI:1154406171
Name:ECONOMY MEDICAL INC
Entity type:Organization
Organization Name:ECONOMY MEDICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:G
Authorized Official - Last Name:GOODSPEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-671-4800
Mailing Address - Street 1:2355 WHITMAN RD STE F
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-2542
Mailing Address - Country:US
Mailing Address - Phone:925-671-4800
Mailing Address - Fax:925-686-3580
Practice Address - Street 1:4025 NELSON AVENUE
Practice Address - Street 2:ECONOMY MEDICAL INC
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520
Practice Address - Country:US
Practice Address - Phone:925-671-4800
Practice Address - Fax:925-686-3580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00790GMedicaid
CADME00790GMedicaid