Healthcare Provider Details

I. General information

NPI: 1154406171
Provider Name (Legal Business Name): ECONOMY MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 05/17/2021
Certification Date: 05/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 NELSON AVENUE ECONOMY MEDICAL INC
CONCORD CA
94520
US

IV. Provider business mailing address

2355 WHITMAN RD STE F
CONCORD CA
94518-2542
US

V. Phone/Fax

Practice location:
  • Phone: 925-671-4800
  • Fax: 925-686-3580
Mailing address:
  • Phone: 925-671-4800
  • Fax: 925-686-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY G GOODSPEED
Title or Position: VICE PRESIDENT
Credential:
Phone: 925-671-4800