Active NPI
In Home Medical Inc
- Oxygen Equipment & Supplies (DME)
- Moses Lake, WA
National Provider Identifier
1174669295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- IN HOME MEDICAL INC
- Practice address
- 124 E 3Rd Ave
Moses Lake, WA 98837-5935 - Phone
- (509) 764-0070
- NPI assigned
- Jan 29, 2007
- Last updated
- Dec 21, 2015
- 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. Jim Jewell
- Title
- Ceo
- Phone
- (509) 547-2246
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | ATP6816 | WA | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
124 E 3Rd Ave
Moses Lake, WA 98837-5935
Mailing address
9527 Sandifur Pkwy
Pasco, WA 99301-9105
Phone (509) 547-2246
Other names 1
- moses lake location
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450656000000",
"number": "1174669295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9527 SANDIFUR PKWY",
"city": "PASCO",
"state": "WA",
"postal_code": "993019105",
"telephone_number": "509-547-2246",
"fax_number": "509-547-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E 3RD AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988375935",
"telephone_number": "509-764-0070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2015-12-21",
"status": "A",
"authorized_official_last_name": "JEWELL",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "509-547-2246",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "WA",
"license": "ATP6816",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "moses lake location",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.