PERFORMANCE MODALITIES INC (NPI# 1639791734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639791734 |
Entity Type | Organization |
Organization Name | PERFORMANCE MODALITIES INC |
Practice Address |
1110 W Park Pl Ste 308 Coeur D Alene ID 83814-2715 |
Mailing Address |
Po Box 94307 Seattle WA 98124-6607 |
Practice Telephone | 8666874463 |
Practice Fax Number | 8774142727 |
Mailing Telephone | 2533725530 |
Mailing Fax Number | 2538544891 |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-08-13 |
Authorized Official Name | PATRICIA LEE FAULS (DIRECTOR OF COMPLIANCE) |
Authorized Official Telephone | 2533725530 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Other Name | Type Code |
---|---|
Performance Home Medical | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023648425 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 230 S 15th St Ste B, Mount Vernon, WA 98274-4570 | 2020-01-24 |
1790326882 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 10373 Ne Hancock St Ste 128, Portland, OR 97220-3873 | 2019-10-01 |
1821433558 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 3202 Colby Ave Ste D, Everett, WA 98201-4324 | 2013-05-08 |
1437495355 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 2414 Nw Myhre Rd, Suite 100, Silverdale, WA 98383-7669 | 2012-12-20 |
1457680472 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 1133 164th St Sw Ste 101, Lynnwood, WA 98087-8192 | 2009-12-22 |
1679714554 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 418 Lilly Rd Ne, Olympia, WA 98506-5132 | 2009-03-23 |
1093956120 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 507 S Washington St Ste 140, Spokane, WA 99204-2604 | 2009-03-19 |
1801085071 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 705 S 9th St Ste 103, Tacoma, WA 98405-4678 | 2007-10-23 |
1942251426 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 507 South Washington, Suite #160, Spokane, WA 99204 | 2006-05-12 |
1821466046 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 1498 Se Tech Center Place, Suite 140, Vancouver, WA 98683 | 2015-09-03 |
Street Address |
1110 W PARK PL STE 308 |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814-2715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
Find all providers in zip 83814 |
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 |
---|---|---|---|---|
1689956575 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 1801 N Government Way, Suite 3, Coeur D Alene, ID 83814 | 2011-09-15 |
1871711903 | Premier Medical Inc. | Durable Medical Equipment & Medical Supplies | 2900 N Government Way, Coeur D Alene, ID 83815-3751 | 2007-04-23 |
1083785760 | Wayne Clair Johnson | Durable Medical Equipment & Medical Supplies | 3115 N Govt Way, Suite #7, Coeur D Alene, ID 83815-3790 | 2006-11-13 |
1053420596 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 208 West Ironwood Drive, Ironwood Square, Coeur D Alene, ID 83814-2640 | 2006-08-29 |
1962417089 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 335 W Appleway Ave, Coeur D Alene, ID 83814-9306 | 2006-07-29 |
1578592531 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1001 N 4th St, Coeur D Alene, ID 83814-3113 | 2006-07-02 |
1164468781 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 121 W Neider Ave, Coeur D Alene, ID 83815-9300 | 2006-06-21 |
1952347866 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 560 W Kathleen Ave, Coeur D Alene, ID 83815-8392 | 2006-06-20 |
1740289024 | Kootenai Outpatient Surgery Cntr LLC | Durable Medical Equipment & Medical Supplies | 707 W Ironwood Dr, Coeur D Alene, ID 83814-2772 | 2005-07-19 |
1194345199 | Kootenai Health | Durable Medical Equipment & Medical Supplies | 700 W Ironwood Dr Ste 159, Coeur D Alene, ID 83814-4401 | 2020-04-20 |
Find all providers in COEUR D ALENE |
City | COEUR D ALENE |
Zip Code | 83814 |
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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.