Organization Active NPI

Reliable Medical Products Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1104823715
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
07-579814-D Issued in AZ
Legal business name
RELIABLE MEDICAL PRODUCTS INC
Practice address
301 W Deer Valley Rd
Ste 1
Phoenix, AZ 85027-2117
Phone
(623) 434-5585
Fax
(623) 434-5595
NPI assigned
Jun 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Gloria A Knutson
Title
President
Phone
(623) 434-5585

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 07-579814-D AZ Primary
Customized Equipment (DME) 332BC3200X 07-579814-D AZ

Addresses

Primary practice location

301 W Deer Valley Rd
Ste 1
Phoenix, AZ 85027-2117

Mailing address

PO Box 43965
Phoenix, AZ 85080-3965
Phone (623) 434-5585

Other identifiers 1

IdentifierTypeStateIssuer
442020MedicaidAZ

National Provider Directory

National Provider Directory

Locations

301 W Deer Valley Rd
Ste 1
Phoenix, AZ 85027
Phone (623) 434-5585

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1104823715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43965",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850803965",
            "telephone_number": "623-434-5585",
            "fax_number": "623-434-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W DEER VALLEY RD",
            "address_2": "STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272117",
            "telephone_number": "623-434-5585",
            "fax_number": "623-434-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE MEDICAL PRODUCTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-434-5585"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "07-579814-D",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "07-579814-D",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442020",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.