Active NPI
Mountain View Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
National Provider Identifier
1093970832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 602843542
- Legal business name
- MOUNTAIN VIEW MEDICAL SUPPLY, INC.
- Practice address
- 7588 Delaware Lane
Vancouver, WA 98664 - Phone
- (360) 695-5161
- Fax
- (360) 695-2257
- NPI assigned
- Jul 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffery J Sparacio
- Title
- President
- Phone
- (360) 695-5161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 602843542 | WA | Primary |
Addresses
Primary practice location
7588 Delaware Lane
Vancouver, WA 98664
Mailing address
PO Box 821123
Vancouver, WA 98682
Phone (360) 695-5161
National Provider Directory
National Provider DirectoryLocations
7588 Delaware Ln
Vancouver, WA 98664
Phone (360) 695-5161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1093970832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 821123",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98682",
"telephone_number": "360-695-5161",
"fax_number": "360-695-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7588 DELAWARE LANE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98664",
"telephone_number": "360-695-5161",
"fax_number": "360-695-2257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-22",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "SPARACIO",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-695-5161",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": "602843542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.