Active NPI
Health Care Supply
- Durable Medical Equipment & Medical Supplies
- Bellingham, WA
National Provider Identifier
1376761528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 600050758
- Legal business name
- HEALTH CARE SUPPLY
- Practice address
- 1701 N State St
Bellingham, WA 98225-4604 - Phone
- (360) 676-8707
- Fax
- (360) 676-8707
- NPI assigned
- Apr 23, 2007
- 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. John Peck
- Title
- Owner
- Phone
- (360) 676-8707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 600050758 | WA | Primary |
Addresses
Primary practice location
1701 N State St
Bellingham, WA 98225-4604
Mailing address
1701 N State St
Bellingham, WA 98225-4604
Phone (360) 676-8707
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0013349 | Other | WA | WA STATE L&I PIN |
| 9142308 | Medicaid | WA | |
| HE1469 | Other | WA | REGENCE BLUE SHIELD PIN |
| 103961001 | Other | WA | GROUP HEALTH PIN |
| 9008632 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
1701 N State St
Bellingham, WA 98225
Phone (360) 676-8707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1376761528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N STATE ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254604",
"telephone_number": "360-676-8707",
"fax_number": "360-676-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N STATE ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254604",
"telephone_number": "360-676-8707",
"fax_number": "360-676-8707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH CARE SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "PECK",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-676-8707",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": "600050758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE L&I PIN",
"identifier": "0013349",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9142308",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "HE1469",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PIN",
"identifier": "103961001",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9008632",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.