MOUNTAIN LAKES MEDICAL SUPPLY INC
NPI 1639250046
Durable Medical Equipment & Medical Supplies in Big Bear City, CA

Active since October 18, 2006
226 E. FAIRWAY BLVD, BIG BEAR CITY, CA 92314(909) 585-1339(909) 585-3646 Get Directions Write a Review

NPPES record last updated: July 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Lakes Medical Supply Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN LAKES MEDICAL SUPPLY INC (NPI 1639250046) is a healthcare organization registered as a durable medical equipment & medical supplies in Big Bear City, California and active in the NPI registry since October 2006. The organization lists Marc K Lapham, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1639250046
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMOUNTAIN LAKES MEDICAL SUPPLY INC
Location Address226 E. FAIRWAY BLVDBig Bear City, CA 92314-9050
Mailing AddressPo Box 1679Big Bear City, CA 92314-9050 · (909) 585-1339 · Fax (909) 585-3646
Fax(909) 585-3646
Organization SubpartNo
Authorized OfficialMarc K LaphamOwner Operator · (909) 585-1339
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 18, 2008
NPI 1639250046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in CA · 102727
Definition
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.
226 E. FAIRWAY BLVD, Big Bear City, CA 92314

Other Identifiers 3

OtherD08601548CA · Submitter Id
MedicaidDME01937FCA
Medicare NSC4129290001CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Lakes Medical Supply Inc's NPI number?

The NPI number for Mountain Lakes Medical Supply Inc is 1639250046. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Mountain Lakes Medical Supply Inc located?

Mountain Lakes Medical Supply Inc is located at 226 E. Fairway Blvd, Big Bear City, CA 92314. The listed phone number is (909) 585-1339.

What is Mountain Lakes Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Mountain Lakes Medical Supply Inc was last updated on July 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.