Provider Demographics
NPI:1316928690
Name:ABILITY MEDCO INC
Entity type:Organization
Organization Name:ABILITY MEDCO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:B
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:209-572-2273
Mailing Address - Street 1:1300 N 9TH ST
Mailing Address - Street 2:#C
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-4793
Mailing Address - Country:US
Mailing Address - Phone:209-572-2273
Mailing Address - Fax:209-572-1625
Practice Address - Street 1:1300 N 9TH ST
Practice Address - Street 2:#C
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-4793
Practice Address - Country:US
Practice Address - Phone:209-572-2273
Practice Address - Fax:209-572-1625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME00787FMedicaid
CA0207390001Medicare ID - Type Unspecified