Organization Active NPI

Health Care Supply

  • Durable Medical Equipment & Medical Supplies
  • Bellingham, WA
National Provider Identifier
1376761528
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
600050758 Issued in WA
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

Updated by the provider on Oct 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0013349OtherWAWA STATE L&I PIN
9142308MedicaidWA
HE1469OtherWAREGENCE BLUE SHIELD PIN
103961001OtherWAGROUP HEALTH PIN
9008632MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.