Provider Demographics
NPI:1851093066
Name:FED MED INC
Entity Type:Organization
Organization Name:FED MED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BOVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-978-6204
Mailing Address - Street 1:PO BOX 1461
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95436-1461
Mailing Address - Country:US
Mailing Address - Phone:707-835-7796
Mailing Address - Fax:
Practice Address - Street 1:8350 MARTINELLI RD
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:CA
Practice Address - Zip Code:95436-9713
Practice Address - Country:US
Practice Address - Phone:707-835-7796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-21
Last Update Date:2023-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle