Madrona Medical Group P.S. DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MADRONA MEDICAL GROUP P.S. DME

Practice address

4545 Cordata Pkwy
Bellingham, WA 98226-7123

Phone

(360) 738-3300

Fax

(360) 752-5673

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Pat Tidmarsh

Title

Patient Accounts Manager

Phone

(360) 738-3300

Specialties & licenses 1

Addresses

Tax ID family

Madrona Medical Group PS DME2 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.

• Madrona Medical Group, P.S.

  • Sleep Disorder Diagnostic Clinic/Center
  • Bellingham, WA
  • NPI 1598756777
  NPD tax ID

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275734691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 CORDATA PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267123",
            "telephone_number": "360-738-3300",
            "fax_number": "360-752-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CORDATA PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267123",
            "telephone_number": "360-738-3300",
            "fax_number": "360-752-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONA MEDICAL GROUP P.S. DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIDMARSH",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "360-738-3300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha E Mackenzie
• Kayla Maclain
• Griffen Macleod
• Mark Macomber, L.AC.
• Pam Madison, MA
• Madrona Medical Group, P.S.
• Madrona Medical Group, P.S.
• Madrona Medical Group, PS
• Madrona Medical Group,PS
• Kerry Madrone, MA, LMHC

• Durable Medical Equipment & Medical Supplies in Bellingham, WA
• Providers in Bellingham, 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 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.