Organization Active NPI

Good Night Medical of Washington, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Spokane Valley, WA
National Provider Identifier
1013176676
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
GOOD NIGHT MEDICAL OF WASHINGTON, INC.
Doing business as
Good Night Medical
Practice address
12209 E Mission Ave
Suite 10
Spokane Valley, WA 99206-4824
Phone
(509) 465-5522
Fax
(614) 386-0278
NPI assigned
Jun 8, 2008
Organization subpart
Yes
Parent organization
GOOD NIGHT MEDICAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alan T Rudy
Title
President
Phone
(614) 499-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X WA Primary

Addresses

Primary practice location

12209 E Mission Ave
Suite 10
Spokane Valley, WA 99206-4824

Mailing address

975 Eastwind Dr
Suite 165
Westerville, OH 43081-5322
Phone (614) 384-7433

Other identifiers 2

IdentifierTypeStateIssuer
DME 9062175MedicaidWA
OXYGEN 9062159MedicaidWA

Other names 1

  • Good Night Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1013176676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 EASTWIND DR",
            "address_2": "SUITE 165",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430815322",
            "telephone_number": "614-384-7433",
            "fax_number": "614-386-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12209 E MISSION AVE",
            "address_2": "SUITE 10",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064824",
            "telephone_number": "509-465-5522",
            "fax_number": "614-386-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NIGHT MEDICAL OF WASHINGTON, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD NIGHT MEDICAL, LLC",
        "enumeration_date": "2008-06-08",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "RUDY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-499-0776"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME 9062175",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OXYGEN 9062159",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Night Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.