Organization Active NPI

Keybridge Health Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Olympia, WA
National Provider Identifier
1023893658
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KEYBRIDGE HEALTH SUPPLIES LLC
Practice address
3516 7TH Ave SW
Olympia, WA 98502-5011
Phone
(646) 671-9790
Fax
(253) 444-0533
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Mr. Kerbie Salvador A BarrantesNPI 1649800426
Title
Owner
Phone
(646) 671-9790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3516 7TH Ave SW
Olympia, WA 98502-5011

Mailing address

3516 7TH Ave SW
Olympia, WA 98502-5011
Phone (646) 671-9790

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1023893658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 7TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025011",
            "telephone_number": "646-671-9790",
            "fax_number": "253-444-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 7TH AVE SW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025011",
            "telephone_number": "646-671-9790",
            "fax_number": "253-444-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYBRIDGE HEALTH SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "BARRANTES",
        "authorized_official_first_name": "KERBIE SALVADOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-671-9790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.