Red Pine Health Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RED PINE HEALTH SUPPLY

Practice address

89 W Wrangler Ave
Saratoga Springs, UT 84045-3937

Phone

(801) 682-3865

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Preston Boutsis

Title

Office Manager

Phone

(801) 805-1906

Specialties & licenses 1

Addresses

Other names 1

• DME Solutions Doing business as

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1073155941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 W WRANGLER AVE",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840453937",
            "telephone_number": "801-682-3865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 W WRANGLER AVE",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840453937",
            "telephone_number": "801-682-3865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED PINE HEALTH SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "BOUTSIS",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-805-1906"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DME Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DME Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.