Provider Demographics
NPI:1194061556
Name:MEDCARE SUPPLY INC
Entity type:Organization
Organization Name:MEDCARE SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANEGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAYFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-775-7117
Mailing Address - Street 1:4300 GEARY BLVD # A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3004
Mailing Address - Country:US
Mailing Address - Phone:415-775-7117
Mailing Address - Fax:415-775-6436
Practice Address - Street 1:4300 GEARY BLVD # A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3004
Practice Address - Country:US
Practice Address - Phone:415-775-7117
Practice Address - Fax:415-775-6436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies