MIRACCO MEDICAL LLC (NPI# 1730358276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730358276 |
| Entity Type | Organization |
| Organization Name | MIRACCO MEDICAL LLC |
| Other Organization Name | DURAMED |
| Practice Address |
859 Cotting Ct Ste B Vacaville CA 95688-9354 |
| Practice Telephone | 7074483620 |
| Mailing Telephone | 7074483620 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | MICHAEL MONTGOMERY (PRESIDENT) |
| Authorized Official Telephone | 7074483620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| DuraMed | Doing Business As Name - Organization |
| Street Address |
859 COTTING CT STE B |
| City | VACAVILLE |
| State | CA |
| Zip Code | 95688-9354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917165 | Katelyn Renee Watson | Military Health Care Provider | 101 Bodin Drive, Bldg 777, Fairfield, CA 95688 | 2020-06-23 |
| 1043842917 | Dr. Page Hudson Dental Corporation | Dentist | 1671 East Monte Vista Ave, Suite 200, Vacaville, CA 95688 | 2020-02-10 |
| 1356981534 | Demi Renae Holder | Behavior Technician | 6801 Leisure Town Rd Apt. 153, Vacaville, CA 95688 | 2020-01-15 |
| 1073089074 | Sukhdeep Kaur | Nurse Practitioner | 679 E Monte Vista Ave #140, Vacaville, CA 95688 | 2018-10-17 |
| 1114419553 | Sharlie Mccurry | Behavior Technician | 3333 Vaca Valley Pkwy, Suite 900, Vacaville, CA 95688 | 2018-06-01 |
| 1720577307 | Ana Lynch | Behavioral Analyst | 250 Grape St, Vacaville, CA 95688 | 2018-05-09 |
| 1508382011 | Esther's Empowerment Leadership Institute, LLC | Health Educator | 227 Fairoaks Drive, Vacaville, CA 95688 | 2017-08-16 |
| 1023534807 | Jean Allyson Garcia | Counselor | 1286 Callen Street, Vacaville, CA 95688 | 2017-08-14 |
| 1437692043 | Ahmed Abdi Ali | Pharmacist | 1 Quality Drive, Mob-b 1st Flr, 24 Hrs Pharmacy, Vacaville, CA 95688 | 2016-11-30 |
| 1275961807 | Laura Hitt | Dietitian, Registered | 107 Blackwood Ct, Vacaville, CA 95688 | 2013-10-16 |
| Find all providers in zip 95688 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508338054 | Integrative Foot and Ankle Center | Durable Medical Equipment & Medical Supplies | 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 | 2018-12-21 |
| 1215374913 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2050 Nut Tree Rd, Vacaville, CA 95687-7108 | 2013-06-04 |
| 1720424799 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 941 Alamo Dr, Vacaville, CA 95687-5601 | 2013-05-17 |
| 1598842916 | Rem Medical | Durable Medical Equipment & Medical Supplies | 490 Merchant St, Suite 101, Vacaville, CA 95688-4551 | 2006-11-01 |
| 1487763835 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 2050 Nut Tree Road, Elmira Square, Vacaville, CA 95687-7108 | 2006-08-30 |
| 1144235425 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2010 Alamo Dr, Vacaville, CA 95687-6289 | 2006-07-29 |
| 1437171048 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 3000 Harbison Dr, Vacaville, CA 95687-3909 | 2006-07-24 |
| 1487671731 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1500 Helen Power Dr, Vacaville, CA 95687-3506 | 2006-07-16 |
| 1760409007 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1501 Helen Power Dr, Vacaville, CA 95687-3351 | 2006-07-16 |
| 1356370365 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 2090 Harbison Dr, Vacaville, CA 95687-3902 | 2006-07-02 |
| Find all providers in VACAVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.