NORTHWEST MEDICAL, LLC. (NPI# 1720329055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720329055 |
Entity Type | Organization |
Organization Name | NORTHWEST MEDICAL, LLC. |
Practice Address |
935 Town Centre Dr Ste 102 Medford OR 97504-6172 |
Mailing Address |
2330 W Broadway Rd Ste 112 Mesa AZ 85202-1886 |
Practice Telephone | 5419732616 |
Practice Fax Number | 5419732620 |
Mailing Telephone | 4808307700 |
Mailing Fax Number | 4808307708 |
Enumeration Date | 2013-03-12 |
Last Update Date | 2020-08-20 |
Authorized Official Name | SHEILA ROBERSON (COMPLIANCE OFFICER) |
Authorized Official Telephone | 4808307700 |
Is Organization Subpart | Y |
Parent Organization Name | GREAT ELM DME INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568848521 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 929 E Main Ste 330, Puyallup, WA 98372-3116 | 2015-07-31 |
1902039373 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 1265 S Seward Meridian Pkwy Unit De, Wasilla, AK 99654-8351 | 2009-09-01 |
1619901162 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 280 Sw 43rd St Unit J, Renton, WA 98057-4936 | 2006-07-10 |
1033149000 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 5633 B St, Anchorage, AK 99518-1642 | 2006-07-04 |
1417987488 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 939 Harlow Rd Ste 120, Springfield, OR 97477-1190 | 2006-07-04 |
1770539603 | Northwest Medical, LLC. | Durable Medical Equipment & Medical Supplies | 1010 Se Stark St, Portland, OR 97214 | 2006-05-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | NORTHWEST MEDICAL, LLC | 2330 W Broadway Rd Ste 107, Mesa, AZ 85202 |
Washington State Corporations | NORTHWEST MEDICAL, LLC | 2330 W Broadway Rd Ste 107, Mesa, AZ 85202-1886 |
Street Address |
935 TOWN CENTRE DR STE 102 |
City | MEDFORD |
State | OR |
Zip Code | 97504-6172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
Find all providers in zip 97504 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861634453 | Sound Oxygen Service LLC | Durable Medical Equipment & Medical Supplies | 541 Business Park Dr Ste F, Medford, OR 97504-4191 | 2009-03-30 |
1578658290 | Ashland Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1600 E Barnett Rd, Medford, OR 97504-8283 | 2006-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043817802 | Northwest Medical LLC | Durable Medical Equipment & Medical Supplies | 17933 Nw Evergreen Pl Ste 270, Beaverton, OR 97006-7532 | 2020-10-05 |
1790326882 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 10373 Ne Hancock St Ste 128, Portland, OR 97220-3873 | 2019-10-01 |
1649822636 | Todays Dme, Inc | Durable Medical Equipment & Medical Supplies | 1312 Redwood Ave, Grants Pass, OR 97527-5520 | 2019-07-10 |
1679070908 | Edm Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 2859 22nd St Se, Salem, OR 97302-1554 | 2018-04-12 |
1952761710 | Goose Lake Medical Services Inc | Durable Medical Equipment & Medical Supplies | 16 N F St, Lakeview, OR 97630-1528 | 2016-03-07 |
1437597978 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 2685 Commercial St Ne, Salem, OR 97301-6502 | 2013-06-06 |
1578908034 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 700 Bellevue St Se Ste. 120, Salem, OR 97301-3819 | 2013-05-09 |
1225473051 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 133 Ne Dunn Pl, Mcminnville, OR 97128-9081 | 2013-05-07 |
1235497710 | Lifestyle Hospice Foundation, Inc. | Durable Medical Equipment & Medical Supplies | 2390 Sw 4th Ave, Ontario, OR 97914-1852 | 2012-05-02 |
1013291657 | Stateserv Medical of Oregon, LLC | Durable Medical Equipment & Medical Supplies | 26100 Sw 95th Ave, Suite 200, Wilsonville, OR 97070 | 2011-09-30 |
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.