Active NPI
Precision Distributing, Inc.
- Customized Equipment (DME)
- Vancouver, WA
National Provider Identifier
1114296498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- PRECISION DISTRIBUTING, INC.
- Practice address
- 11105 NE 14TH St
Vancouver, WA 98684-4308 - Phone
- (360) 693-5000
- NPI assigned
- Dec 15, 2011
- 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
- Mrs. Shannon McMakin
- Title
- Cheif Operations Officer
- Phone
- (360) 693-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | Primary |
Addresses
Primary practice location
11105 NE 14TH St
Vancouver, WA 98684-4308
Mailing address
3021 NE 72ND Dr
Ste. 9 PMB 141
Vancouver, WA 98661-7300
Phone (360) 693-5000
National Provider Directory
National Provider DirectoryLocations
3021 NE 72nd Dr
Ste 9
Vancouver, WA 98661
Phone (304) 588-8580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323907200000",
"number": "1114296498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 NE 72ND DR",
"address_2": "STE. 9 PMB 141",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986617300",
"telephone_number": "360-693-5000",
"fax_number": "360-693-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11105 NE 14TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986844308",
"telephone_number": "360-693-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION DISTRIBUTING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-15",
"last_updated": "2011-12-15",
"status": "A",
"authorized_official_last_name": "MCMAKIN",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "CHEIF OPERATIONS OFFICER",
"authorized_official_telephone_number": "360-693-5000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"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 Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.