Organization Active NPI

Complete Facility Supply, LLC

  • Durable Medical Equipment & Medical Supplies
  • Issaquah, WA
National Provider Identifier
1023113065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMPLETE FACILITY SUPPLY, LLC
Practice address
970 5TH Ave NW Ste 2
Issaquah, WA 98027-2469
Phone
(425) 391-6646
Fax
(425) 391-6968
NPI assigned
Sep 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Heidi Albrecht
Title
Controller
Phone
(425) 391-6646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WA Primary

Addresses

Primary practice location

970 5TH Ave NW Ste 2
Issaquah, WA 98027-2469

Mailing address

PO Box 2708
Issaquah, WA 98027-0124
Phone (425) 391-6646

National Provider Directory

National Provider Directory

Locations

970 5th Ave NW
Ste 2
Issaquah, WA 98027
Phone (425) 391-6646

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023113065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2708",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980270124",
            "telephone_number": "425-391-6646",
            "fax_number": "425-391-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 5TH AVE NW STE 2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272469",
            "telephone_number": "425-391-6646",
            "fax_number": "425-391-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FACILITY SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBRECHT",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "425-391-6646"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.