COPPER CREEK MEDICAL, INC. (NPI# 1700145869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700145869 |
| Entity Type | Organization |
| Organization Name | COPPER CREEK MEDICAL, INC. |
| Practice Address |
1818 S Union Ave Suite 2b Tacoma WA 98405-1953 |
| Mailing Address |
1512 N Vercler Rd Suite 1 Spokane Valley WA 99216-1087 |
| Practice Telephone | 2537592700 |
| Practice Fax Number | 2537599986 |
| Mailing Telephone | 5094655522 |
| Mailing Fax Number | 5094652642 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-10-12 |
| Authorized Official Name | ALFRED A TALL (PRESIDENT) |
| Authorized Official Telephone | 5099984309 |
| Authorized Official Credential | RRT, RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518215391 | Copper Creek Medical, Inc. | Durable Medical Equipment & Medical Supplies | 20038 68th Ave S, Suite 101, Kent, WA 98032-2154 | 2012-08-27 |
| 1669720454 | Copper Creek Medical, Inc. | Durable Medical Equipment & Medical Supplies | 3411 Fruitvale Blvd, Yakima, WA 98902-7320 | 2012-08-27 |
| 1023366812 | Copper Creek Medical, Inc. | Durable Medical Equipment & Medical Supplies | 3410 E Desmet Ave, Suite B, Spokane, WA 99202-4514 | 2012-08-27 |
| 1942558739 | Copper Creek Medical, Inc. | Durable Medical Equipment & Medical Supplies | 18905 33rd Ave W, Suite 111, Lynnwood, WA 98036-4715 | 2012-08-27 |
| 1851650915 | Copper Creek Medical, Inc. | Durable Medical Equipment & Medical Supplies | 17700 Se 272nd St, Suite 350, Covington, WA 98042-4951 | 2012-05-10 |
| Street Address |
1818 S UNION AVE SUITE 2B |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814284 | Laural Janet Schaberg | Nurse Practitioner | 1818 S Union Ave, Suite 2a, Tacoma, WA 98405-1953 | 2005-10-12 |
| 1821453424 | Jennifer M Coates, Pllc | Clinic/Center | 1818 S Union Ave, Tacoma, WA 98405-1953 | 2015-12-23 |
| 1023431095 | Prideaux-blodgett LLC | Nurse Practitioner | 1818 S Union Ave, Suite 2a, Tacoma, WA 98405-1953 | 2014-01-28 |
| 1750659462 | Jennifer M. Coates | Nurse Practitioner | 1818 S Union Ave, Tacoma, WA 98405-1953 | 2011-12-08 |
| 1558683797 | Stephanie Giaquinto | Audiologist | 1818 S Union Ave, Suite 2c, Tacoma, WA 98405-1953 | 2010-02-15 |
| 1336390061 | Marianne Hevly Norden Otr/l, Cht Pllc | Occupational Therapist | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | 2008-09-30 |
| 1619042280 | Erin M. Duffy | Occupational Therapist | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | 2006-11-21 |
| 1194770164 | Jaisimha K Iyengar | Pain Medicine | 1818 S Union Ave, Ste 1a, Tacoma, WA 98405-1953 | 2006-05-24 |
| 1003869132 | Marianne Hevly Norden | Occupational Therapist | 1818 S Union Ave, St 1b, Tacoma, WA 98405-1953 | 2006-05-18 |
| 1033176003 | Keith Michael Reagan | Physical Therapist | 1818 S Union Ave, Suite 1b, Tacoma, WA 98405-1953 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588196794 | Arris Health Services LLC | Durable Medical Equipment & Medical Supplies | 4002 Tacoma Mall Blvd, Suite 204, Tacoma, WA 98409-7702 | 2017-03-28 |
| 1467690651 | Rumed Inc. | Durable Medical Equipment & Medical Supplies | 3612 Center St., #d, Tacoma, WA 98409 | 2009-01-27 |
| 1386913218 | Bellevue Healthcare LLC | Durable Medical Equipment & Medical Supplies | 1007 S J St, Tacoma, WA 98405-4155 | 2011-12-21 |
| 1053552067 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 705 S 9th St Ste 103, Tacoma, WA 98405-4678 | 2009-03-20 |
| 1487812012 | Blue Mountain Medical Inc | Durable Medical Equipment & Medical Supplies | 1530 S Union Ave, Suite 10, Tacoma, WA 98405-1954 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955249 | Olympia Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 333 Fair St, Centralia, WA 98531-8906 | 2020-09-08 |
| 1831715739 | Yangchen Inc | Durable Medical Equipment & Medical Supplies | 9215 151st Ave Ne, Redmond, WA 98052-3511 | 2020-06-17 |
| 1023648425 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 230 S 15th St Ste B, Mount Vernon, WA 98274-4570 | 2020-01-24 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1457810822 | Sleep Orbit | Durable Medical Equipment & Medical Supplies | 16201 E Indiana Ave Ste 1111, Spokane Valley, WA 99216-2838 | 2019-03-15 |
| 1720523103 | Pinnacle Healthcare Center, Pllc | Durable Medical Equipment & Medical Supplies | 2309 W. Dolarway Rd, Ste. 2, Ellensburg, WA 98926-8087 | 2016-12-21 |
| 1629444047 | Sound Oxygen Service LLC | Durable Medical Equipment & Medical Supplies | 18905 33rd Ave W Ste 111, Lynnwood, WA 98036-4716 | 2015-08-19 |
| 1407231988 | Valuplus Home Health Care Center, Inc | Durable Medical Equipment & Medical Supplies | 1737 N Wenatchee Ave, Suite D, Wenatchee, WA 98801-1189 | 2015-07-24 |
| 1720496912 | Olympia Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 954 Anderson Dr Ste 109, Aberdeen, WA 98520-1001 | 2014-07-31 |
| 1912327321 | Advantage Durable Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 537 Main Ave, Brewster, WA 98812 | 2014-04-24 |
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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.