Timberline Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

09016499T Issued in AZ

Legal business name

TIMBERLINE MEDICAL SUPPLY

Practice address

674 E White Mountain Blvd
Pinetop, AZ 85935-7064

Phone

(928) 367-6834

Fax

(928) 367-6838

NPI assigned

Jun 25, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jerry L Armstrong

Title

Owner

Phone

(928) 367-6834

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Timberline Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Timberline Medical

  • Non-emergency Medical Transport (VAN)
  • Pinetop, AZ
  • NPI 1245381185
  NPD tax ID

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

{
    "created_epoch": "1119657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194721977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2310",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859352310",
            "telephone_number": "928-367-6834",
            "fax_number": "928-367-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 E WHITE MOUNTAIN BLVD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859357064",
            "telephone_number": "928-367-6834",
            "fax_number": "928-367-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-367-6834",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "09016499T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371732",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Healthcare Medical Associates
• Summit Healthcare Medical Associates
• John James Swangler
• Christy Tarpley, LMSW-17952
• Timberline Medical
• Kent Tuttle, DMD
• Waypoint Recovery (Waypoint @ Double B)
• Wesley D Wermuth, D.D.S
• Mark Wessel, RN
• Shirley E Whitehead, WHCNP

• Durable Medical Equipment & Medical Supplies in Pinetop, AZ
• Providers in Pinetop, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.