FOURTH DIMENSION CORP (NPI# 1891036554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891036554 |
| Entity Type | Organization |
| Organization Name | FOURTH DIMENSION CORP |
| Other Organization Name | AUTHORIZED MEDICAL SUPPLY |
| Practice Address |
61148 Benham Rd Bend OR 97702-2652 |
| Practice Telephone | 5413832364 |
| Practice Fax Number | 5413832364 |
| Mailing Telephone | 5413832364 |
| Mailing Fax Number | 5413832364 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |
| Authorized Official Name | MICHAEL A LANTZ (DIRECTOR) |
| Authorized Official Telephone | 5416477762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Authorized Medical Supply | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | FOURTH DIMENSION CORPORATION | 1915 Ne Stucki Ave Ste 308, Hillsboro, OR 97006 |
| Street Address |
61148 BENHAM RD |
| City | BEND |
| State | OR |
| Zip Code | 97702-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| 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 |
|---|---|---|---|---|
| 1851914618 | Bellevue Healthcare II Inc | Durable Medical Equipment & Medical Supplies | 61580 American Ln, Bend, OR 97702-9792 | 2020-05-27 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1982172540 | Synergy Medical Systems, LLC | Durable Medical Equipment & Medical Supplies | 2200 Ne Neff Rd Ste 102, Bend, OR 97701-4280 | 2018-11-12 |
| 1780128520 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1128 Nw Harriman St Ste 161, Bend, OR 97703-1947 | 2016-12-13 |
| 1730557836 | Alpha Catheter Supply | Durable Medical Equipment & Medical Supplies | 2763 Ne Aldrich Ave, Bend, OR 97701-9585 | 2015-09-04 |
| 1124420682 | Hatchbacks, Inc. | Durable Medical Equipment & Medical Supplies | 70 Sw Century Dr, 100-234, Bend, OR 97702-3557 | 2014-09-16 |
| 1528474269 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 223 Ne Franklin Ave, Bend, OR 97701-4915 | 2014-07-02 |
| 1972948305 | Encore Equipment | Durable Medical Equipment & Medical Supplies | 20744 High Desert Court, Suite 3, Bend, OR 97701 | 2013-04-29 |
| 1215175039 | Central Oregon Sleep Disorders Center,llc | Durable Medical Equipment & Medical Supplies | 147 Sw Shevlin Hixon Ave, Suite 101, Bend, OR 97702 | 2009-02-02 |
| 1477662765 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 700 Southeast Third Street, Bend, OR 97702-1753 | 2006-08-30 |
| Find all providers in BEND | ||||
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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.