PACIFIC FOOTWEAR COMPANY, INC (NPI# 1104148741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104148741 |
| Entity Type | Organization |
| Organization Name | PACIFIC FOOTWEAR COMPANY, INC |
| Other Organization Name | PRIORITY FOOTWEAR & PEDORTHIC SERVICES |
| Practice Address |
13660 N 94th Dr Suite F-2 Peoria AZ 85381-4836 |
| Mailing Address |
10240 Sw Nimbus Ave Suite L1 Portland OR 97223-4358 |
| Practice Telephone | 6233029396 |
| Practice Fax Number | 6233029397 |
| Mailing Telephone | 5035249656 |
| Mailing Fax Number | 5035248397 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |
| Authorized Official Name | DAVID REIMANN (PRESIDENT) |
| Authorized Official Telephone | 5035249656 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Priority Footwear & Pedorthic Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427385343 | Pacific Footwear Company, Inc | Durable Medical Equipment & Medical Supplies | 1142 Willagillespie Rd, Suite 23, Eugene, OR 97401-2142 | 2009-11-13 |
| 1861632671 | Pacific Footwear Company, Inc | Prosthetic/Orthotic Supplier | 45 North Main Street, Bountiful, UT 84010 | 2009-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC FOOTWEAR COMPANY, INC. | 10240 Sw Nimbus Ave Ste L1, Portland, OR 97223 |
| Street Address |
13660 N 94TH DR SUITE F-2 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156031 | Jeffrey C Kleiman | Dentist | 13660 N 94th Dr, Ste E3, Peoria, AZ 85381-4209 | 2005-06-28 |
| 1346851276 | Galaxy Anesthesia Services, LLC | Anesthesiology | 13660 N 94th Dr, D-1, Peoria, AZ 85381-8538 | 2020-08-13 |
| 1912338393 | Ashley Patricia Chung | Naturopath | 13660 N 94th Dr, Ste. C-4, Peoria, AZ 85381-4836 | 2013-12-10 |
| 1689939985 | Annie Jong | Podiatrist | 13660 N 94th Dr, Ste A3, Peoria, AZ 85381-4836 | 2012-07-12 |
| 1013216373 | Keith Thomas Bangart | Podiatrist | 13660 N 94th Dr, #f1, Peoria, AZ 85381-4836 | 2011-03-24 |
| 1205152022 | Sunshine Health Care Center | Family Medicine | 13660 N 94th Dr, Suite C4, Peoria, AZ 85381-4841 | 2010-04-19 |
| 1619290129 | Walker Dental | Dentist | 13660 N 94th Dr, Suite B-1, Peoria, AZ 85381-4836 | 2010-03-11 |
| 1821221847 | Tiffany Nicole Mitchell | Naturopath | 13660 N 94th Dr, Ste C-4, Peoria, AZ 85381-4836 | 2009-08-25 |
| 1134359425 | Plaza Del Rio Dentistry, LLC | Dentist | 13660 N 94th Dr, Suite B1, Peoria, AZ 85381-4836 | 2009-07-21 |
| 1174769590 | 94th Drive, LLC | Dentist | 13660 N 94th Dr, B-1, Peoria, AZ 85381-4836 | 2009-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690112 | Sg Mechanical LLC | Durable Medical Equipment & Medical Supplies | 8550 N 91st Ave Ste E-51, Peoria, AZ 85345-8311 | 2020-02-11 |
| 1285272435 | Margaret A. Withrow, Dpm, PC | Durable Medical Equipment & Medical Supplies | 13660 N 94th Dr Ste A3, Peoria, AZ 85381-4836 | 2019-12-18 |
| 1003462581 | Bump Boxes, Inc | Durable Medical Equipment & Medical Supplies | 7719 N Pioneer Ln, Peoria, IL 61615-1910 | 2019-08-12 |
| 1023663010 | Kokopelli Eye Care PC | Durable Medical Equipment & Medical Supplies | 9151 W Thunderbird Rd Ste 104, Peoria, AZ 85381-4906 | 2019-08-06 |
| 1851943286 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 14131 N Rio Vista Blvd Ste 7, Peoria, AZ 85381-4917 | 2019-07-16 |
| 1093370108 | Osf Healthcare System | Durable Medical Equipment & Medical Supplies | 1800 N Knoxville Ave Ste 104, Peoria, IL 61603-3028 | 2019-05-03 |
| 1023584810 | Homestead Orthotics LLC | Durable Medical Equipment & Medical Supplies | 9401 W Thunderbird Rd Ste 187, Peoria, AZ 85381-4210 | 2018-10-18 |
| 1326552977 | Triage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 10434 W Redbird Rd, Peoria, AZ 85383-3578 | 2017-11-17 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1144695883 | Game Day Medical, LLC | Durable Medical Equipment & Medical Supplies | 3004 W Playden Dr, Peoria, IL 61615-7505 | 2015-12-07 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.