GENEVA WOODS HEALTH SUPPLIES PNW, LLC (NPI# 1174917579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174917579 |
| Entity Type | Organization |
| Organization Name | GENEVA WOODS HEALTH SUPPLIES PNW, LLC |
| Other Organization Name | MYMEDSUPPLIES |
| Practice Address |
6326 E Trent Ave Ste A Spokane Valley WA 99212-1220 |
| Practice Telephone | 5098673466 |
| Practice Fax Number | 8665839296 |
| Mailing Telephone | 5098673466 |
| Mailing Fax Number | 8665839296 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | DAN AFRASIABI (PRESIDENT/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9079294743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
604-124-465-001- | WA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 604-124-465-001- | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 47576758 | 05 | |
| IA | 0226655 | 05 | |
| WA | 2092020 | 05 | |
| ID | 1174917579 | 05 | |
| MT | 1174917579 | 05 | |
| OR | 500736763 | 05 |
| Other Name | Type Code |
|---|---|
| Geneva Woods Health Supplies | Doing Business As Name - Organization |
| MyMedSupplies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043604655 | Geneva Woods Health Supplies Pnw, LLC | Durable Medical Equipment & Medical Supplies | 6600 Ne 112th Ct Ste 101, Vancouver, WA 98662-5496 | 2015-03-20 |
| 1942339015 | Geneva Woods Health Supplies Pnw, LLC | Durable Medical Equipment & Medical Supplies | 6149 Martin Way E, Lacey, WA 98516-5547 | 2007-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GENEVA WOODS HEALTH SUPPLIES PNW, LLC | 501 W International Airport Rd. Ste 1a, Anchorage, AK 99518 |
| Washington State Corporations | GENEVA WOODS HEALTH SUPPLIES PNW, LLC | 501 W International Airport Rd, Ste 1a, Anchorage, AK 99518-1106 |
| Oregon Corporations, Companies and Business Names | GENEVA WOODS HEALTH SUPPLIES PNW, LLC | 501 W International Airport Rd Ste 1a, Anchorage, AK 99518 |
| Street Address |
6326 E TRENT AVE STE A |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99212-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889580 | Melissa Lerai Lunsford | Massage Therapist | 1212 N Argonne Rd, Spokane Valley, WA 99212 | 2018-01-26 |
| 1225558539 | Paul James Hammerschmidt | Licensed Practical Nurse | 5600 E. 8th Avenue, Spokane Valley, WA 99212 | 2017-06-27 |
| 1497009302 | Ray A Schoessler | Pharmacist | 9009 E Trent Ave, Spokane, WA 99212 | 2012-10-30 |
| 1215205224 | Wchs Inc | Counselor | 4305 East Trent Avenue, Spokane, WA 99212 | 2011-12-05 |
| 1609159466 | Andrey V Altukhov | Specialist | 906 S. Park Rd, Spokane Valley, WA 99212 | 2011-09-27 |
| 1215189808 | Providence Health & Services - Wa | Home Health | 1000 N Argonne Rd, Spokane Valley, WA 99212 | 2008-10-15 |
| 1568674414 | Colleen Kirsten Monroe | Pharmacist | 5601 E Sprague, Spokane, WA 99212 | 2007-05-04 |
| 1205968534 | Jeremiah Michael Stevens | Naturopath | 1510 N Argonne Rd Ste G, Spokane Valley, WA 99212 | 2007-03-12 |
| 1104957547 | Lyudmila Larkin | Specialist | 8120 E. Vista Lane, Spokane, WA 99212 | 2007-03-08 |
| 1972613511 | Costco Wholesale Corporation | Pharmacy | 5601 E Sprague Ave, Spokane Valley, WA 99212 | 2006-08-30 |
| Find all providers in zip 99212 | ||||
| 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 |
|---|---|---|---|---|
| 1356806798 | Justin Leland | Durable Medical Equipment & Medical Supplies | 4320 S Felts Ct, Spokane Valley, WA 99206-9658 | 2019-02-08 |
| 1801394218 | Multicare Health System | Durable Medical Equipment & Medical Supplies | 1414 N Houk Rd Ste 208, Spokane Valley, WA 99216-1097 | 2018-01-31 |
| 1952611519 | Aspen Respiratory Group, Inc. | Durable Medical Equipment & Medical Supplies | 12410 E. Sinto Suite A, Spokane Valley, WA 99216 | 2010-10-18 |
| 1063740934 | Sole Solutions Inc | Durable Medical Equipment & Medical Supplies | 15319 E Indiana Ave, Suite 3, Spokane Valley, WA 99216-1863 | 2009-12-03 |
| 1487811394 | Inspire Physical & Hand Therapy Spokane Inc. P.s. | Durable Medical Equipment & Medical Supplies | 12410 E Sinto Ave Ste 205, Spokane Valley, WA 99216 | 2008-05-19 |
| 1750417572 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 708 N Argonne Rd, Ste 12, Spokane Valley, WA 99212-2760 | 2007-02-26 |
| 1265516785 | Valley Mission Pharmacy | Durable Medical Equipment & Medical Supplies | 12509 E Mission Ave Ste 103, Spokane Valley, WA 99216-1061 | 2006-10-24 |
| 1235212069 | Marilyn J Taylor | Durable Medical Equipment & Medical Supplies | 11007 E Ferret Dr, Spokane Valley, WA 99206-9451 | 2006-10-23 |
| 1992814206 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 12222 E Sprague Ave, Spokane Valley, WA 99206-5151 | 2006-08-30 |
| 1144339466 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1443 North Argonne Road, Spokane Valley, WA 99212-2685 | 2006-08-30 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99212 |
Please comment or provide details below to improve the information on GENEVA WOODS HEALTH SUPPLIES PNW, LLC.
| 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.