Provider Demographics
NPI:1396861316
Name:SAMALINK HEALTHCARE, INC.
Entity Type:Organization
Organization Name:SAMALINK HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:UDOBONG
Authorized Official - Middle Name:GODFREY
Authorized Official - Last Name:OBONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-652-6497
Mailing Address - Street 1:1249 E FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-4513
Mailing Address - Country:US
Mailing Address - Phone:951-652-6497
Mailing Address - Fax:951-652-6498
Practice Address - Street 1:1249 E FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-4513
Practice Address - Country:US
Practice Address - Phone:951-652-6497
Practice Address - Fax:951-652-6498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
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
CA5072500001Medicare NSC