PAUL E. GERVAIS (NPI# 1770683880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770683880 |
| Entity Type | Organization |
| Organization Name | PAUL E. GERVAIS |
| Other Organization Name | MEDICAL SUPPLY OF CENTRAL OREGON |
| Practice Address |
356 Sw 6th St Redmond OR 97756-2201 |
| Practice Telephone | 5415047700 |
| Practice Fax Number | 5415049170 |
| Mailing Telephone | 5415047700 |
| Mailing Fax Number | 5415049170 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PAUL E GERVAIS (OWNER) |
| Authorized Official Telephone | 5415047700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 269868 | 05 | |
| OR | COIHS | 68560 | 01 |
| Other Name | Type Code |
|---|---|
| Medical Supply of Central Oregon | Doing Business As Name - Organization |
| Street Address |
356 SW 6TH ST |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366564635 | Judy Naomi Gervais | Specialist | 356 Sw 6th St, Redmond, OR 97756-2201 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| 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 |
|---|---|---|---|---|
| 1255966925 | Uniplex Construction, LLC | Durable Medical Equipment & Medical Supplies | 14737 Ne 87th St, Redmond, WA 98052-6500 | 2020-03-03 |
| 1447622626 | Vesiflo, Inc. | Durable Medical Equipment & Medical Supplies | 8531 154th Ave Ne, Suite 150, Redmond, WA 98052 | 2015-10-27 |
| 1952718280 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2529 152nd Ave Ne, Redmond, WA 98052-5550 | 2014-07-18 |
| 1124367164 | Otto Bock Orthopedic Services | Durable Medical Equipment & Medical Supplies | 2675 151st Pl Ne, Suite 3/j, Redmond, WA 98052-5563 | 2013-02-12 |
| 1518292028 | Srs Medical Corp. | Durable Medical Equipment & Medical Supplies | 8672 154th Ave Ne, Redmond, WA 98052-3556 | 2009-10-16 |
| 1558527895 | Minimed Distribution Corp. | Durable Medical Equipment & Medical Supplies | 11811 Willows Rd Ne, Redmond, WA 98052-2003 | 2008-08-06 |
| 1922297431 | Norcross Way Inc. Dba Foot Solutions | Durable Medical Equipment & Medical Supplies | 15230 Ne 24th St Ste O, Redmond, WA 98052-5540 | 2007-10-20 |
| 1245313592 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 17700 Ne 76th St, Redmond, WA 98052-3300 | 2006-10-23 |
| 1154432383 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 14880 Northeast 24th Street, Redmond, WA 98052-5593 | 2006-08-31 |
| 1841309135 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1651 Southwest Odem Medo Road, Wagner Mall, Redmond, OR 97756-9573 | 2006-08-30 |
| Find all providers in REDMOND | ||||
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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.