DOUGLAS MEDICAL EQUIPMENT SUPPLY (NPI# 1356729578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356729578 |
| Entity Type | Organization |
| Organization Name | DOUGLAS MEDICAL EQUIPMENT SUPPLY |
| Other Organization Name | DBA PACIFIC SLEEP LABS |
| Practice Address |
780 2nd St Se Ste 3 Bandon OR 97411-8354 |
| Mailing Address |
1950 Waite St North Bend OR 97459-1228 |
| Practice Telephone | 5417569014 |
| Practice Fax Number | 5417569015 |
| Mailing Telephone | 5417569014 |
| Mailing Fax Number | 5417569015 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-09-30 |
| Authorized Official Name | MRS. MICHELE E TORVIK (ABCT COO) |
| Authorized Official Telephone | 5414644492 |
| Is Organization Subpart | Y |
| Parent Organization Name | DOUGLAS MEDICAL EQUIPMENT SUPPLY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
500643-94 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| DBA PACIFIC SLEEP LABS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578941795 | Douglas Medical Equipment Supply | Clinic/Center | 150 N 7th St, Reedsport, OR 97467-1503 | 2015-05-07 |
| 1063890382 | Douglas Medical Equipment Supply | Clinic/Center | 1950 Waite St, North Bend, OR 97459-1228 | 2015-05-07 |
| 1619355831 | Douglas Medical Equipment Supply | Clinic/Center | 21 N Adams St, Coquille, OR 97423-1858 | 2015-05-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DOUGLAS MEDICAL EQUIPMENT SUPPLY LLC | 1813 W Harvard Ave Ste 220, Roseburg, OR 97471 |
| Street Address |
780 2ND ST SE STE 3 |
| City | BANDON |
| State | OR |
| Zip Code | 97411-8354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174841183 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 780 2nd St Se Ste 3, Bandon, OR 97411-8354 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851756340 | Carl John Moehring | Internal Medicine | 2840 Beach Loop Dr. Sw, Bandon, OR 97411 | 2015-12-28 |
| 1841692969 | Bandon Senior Living LLC | Assisted Living Facility | 1000 6th Ave West, Bandon, OR 97411 | 2014-09-19 |
| 1962824821 | Oregon Retina, LLP | Ophthalmology | 1095 Alabama Street, Bandon, OR 97411 | 2014-01-13 |
| 1063756401 | Bandon Coastal Dental, LLC | Clinic/Center | 1097 Baltimore Ave, Bandon, OR 97411 | 2012-11-26 |
| 1114205028 | James Ryan Surface | Dentist | 1275 Oregon Ave., Bandon, OR 97411 | 2011-07-26 |
| 1790083509 | William M. Soper, Dds | Preferred Provider Organization | 1275 Oregon Ave, Bandon, OR 97411 | 2011-03-02 |
| 1285860635 | Sharen C. Strong | Dentist | 155 Delaware Ave, Bandon, OR 97411 | 2009-05-29 |
| 1518158500 | Coos Eye Centers, Inc. | Optometrist | 1095 Alabama Avenue, Bandon, OR 97411 | 2007-08-06 |
| 1043432040 | Michael Brent Currie | Chiropractor | 55416 Melton Road, Bandon, OR 97411 | 2007-05-02 |
| 1619098167 | Susan Lynn Dimock | Social Worker | 1212 Alabama St, Suite 27, Bandon, OR 97411 | 2007-04-03 |
| Find all providers in zip 97411 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174841183 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 780 2nd St Se Ste 3, Bandon, OR 97411-8354 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1578941795 | Douglas Medical Equipment Supply | Clinic/Center | 150 N 7th St, Reedsport, OR 97467-1503 | 2015-05-07 |
| 1205255882 | Sleep Health Now, LLC | Clinic/Center | 14780 Sw Osprey Dr Ste 240a, Beaverton, OR 97007-8424 | 2014-04-10 |
| 1578906582 | Somnorem Diagnostics LLC | Clinic/Center | 8130 Sw Beaverton Hillsdale Hwy, Portland, OR 97225-1845 | 2013-04-09 |
| 1083991772 | Pacific Sleep & Respiratory Diagnostics, LLC | Clinic/Center | 21 N Adams St, Coquille, OR 97423-1858 | 2011-11-08 |
| 1740585876 | Northwest Sleep Services, LLC | Clinic/Center | 5060 Sw Philomath Blvd # 166, Corvallis, OR 97333-1044 | 2011-01-20 |
| 1437466612 | Mark T. Gabr, M.d., P.C. | Clinic/Center | 180 Ramsgate Sq. Se, Salem, OR 97302-5867 | 2010-09-09 |
| 1881912889 | Pacific Sleep & Respiratory Diagnostics LLC | Clinic/Center | 1950 Waite St, North Bend, OR 97459-1228 | 2010-05-14 |
| 1043535685 | Sleep Metric Systems, Inc. | Clinic/Center | 1810 Se 10th Ave Ste B, Portland, OR 97214-3549 | 2010-04-06 |
| 1225352776 | Coastal Diagnostic Testing Group LLC | Clinic/Center | 1810 Monroe St., Ste 14, North Bend, OR 97459-3447 | 2010-03-25 |
| Find all providers with the same taxonomy | ||||
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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.