Rockwood Clinic PS

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ROCKWOOD CLINIC PS

Practice address

725 N Stanley St
Suite D
Medical Lake, WA 99022-8939

Phone

(509) 299-5145

Fax

(509) 299-5154

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Mr. James Patrick Wright

Title

Sr. Director

Phone

(615) 465-7587

Specialties & licenses 1

Addresses

Other names 1

• ROCKWOOD MEDICAL LAKE Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Multicare Health System

  • General Acute Care Hospital
  • Puyallup, WA
  • NPI 1841231461

  Member Of

  NPD member

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1235538166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N STANLEY ST",
            "address_2": "SUITE D",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228939",
            "telephone_number": "509-299-5145",
            "fax_number": "509-299-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "615-465-7587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKWOOD MEDICAL LAKE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy J Pinnell
• James P Purvis, DDS
• Ashley Nicole Ramsdale, PSYD
• Regenerative Medicine Institute, PLLC
• Pamela Reiter, LMT
• Grant F. Rodkey, DMD
• Ryan Bushman DMD & Chase Davis DDS PLLC
• Marcia L Ryan
• Herman Lee Ryans, CDP
• Gregory Lee Saue, MD

• Durable Medical Equipment & Medical Supplies in Medical Lake, WA
• Providers in Medical Lake, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.