Provider Demographics
NPI:1972698074
Name:AWCS MEDICAL, INC.
Entity Type:Organization
Organization Name:AWCS MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT / CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROUND
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CWCN, CWS
Authorized Official - Phone:559-784-3333
Mailing Address - Street 1:1392 W. OLIVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3070
Mailing Address - Country:US
Mailing Address - Phone:559-784-3333
Mailing Address - Fax:559-781-3413
Practice Address - Street 1:1392 W. OLIVE
Practice Address - Street 2:SUITE D
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3070
Practice Address - Country:US
Practice Address - Phone:559-784-3333
Practice Address - Fax:559-781-3413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHME RETAIL # 102562332B00000X
CAHME RETAIL # 102562332BX2000X
CAHME RETAIL #102562335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA8313OtherBUS. LICENSE CITY OF PVIL
CADME02891FMedicaid
CADME02891FMedicaid