CUSTOM TECNHOLOGY CO., INC. (NPI# 1801033758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801033758 |
| Entity Type | Organization |
| Organization Name | CUSTOM TECNHOLOGY CO., INC. |
| Practice Address |
460 Mclaughlin Rd Yakima WA 98908-9659 |
| Practice Telephone | 5099653333 |
| Practice Fax Number | 5099659309 |
| Mailing Telephone | 5099653333 |
| Mailing Fax Number | 5099659309 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Authorized Official Name | B ROBERT BADER (PRESIDENT) |
| Authorized Official Telephone | 5099653333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 600623656 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PMSI | 1202090 | 01 |
| Street Address |
460 MCLAUGHLIN RD |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-9659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| 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 |
|---|---|---|---|---|
| 1285979708 | Freedom Medical Supplies LLC. | Durable Medical Equipment & Medical Supplies | 423 W Yakima Ave, Yakima, WA 98902-3408 | 2012-12-10 |
| 1649562620 | Farwest Climate Control, Inc | Durable Medical Equipment & Medical Supplies | 112 N 3rd Ave, Yakima, WA 98902-2630 | 2011-05-09 |
| 1487981247 | Keith L Jones | Durable Medical Equipment & Medical Supplies | 1019 S 48th Ave, Yakima, WA 98908-3707 | 2009-11-14 |
| 1003048505 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6400 W Nob Hill Blvd, Yakima, WA 98908-1929 | 2009-08-17 |
| 1629214010 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 610 W Yakima Ave, Yakima, WA 98902-3365 | 2009-01-06 |
| 1881809176 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 12 North 9th Avenue, Yakima, WA 98902-3065 | 2007-05-11 |
| 1669503348 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4001 Summitview Ave Ste 1, Yakima, WA 98908-2945 | 2007-03-07 |
| 1104935410 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 5606 Summit View Avenue, Yakima, WA 98908-3038 | 2006-08-30 |
| 1225147549 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 2204 West Nob Hill Boulevard, Suite B, Yakima, WA 98902-6200 | 2006-08-30 |
| 1326071689 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 1207 N 40th Ave, Yakima, WA 98908-9456 | 2006-07-09 |
| Find all providers in YAKIMA | ||||
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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.