Provider Demographics
NPI:1447079884
Name:CAMPBELL MEDICALS LLC
Entity type:Organization
Organization Name:CAMPBELL MEDICALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:669-231-1189
Mailing Address - Street 1:1821 S BASCOM AVE # 283
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2309
Mailing Address - Country:US
Mailing Address - Phone:669-231-1189
Mailing Address - Fax:669-231-1189
Practice Address - Street 1:30 UNION AVE STE 210
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-3162
Practice Address - Country:US
Practice Address - Phone:669-231-1189
Practice Address - Fax:669-231-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies