Sunnyside Community Hospital Home Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUNNYSIDE COMMUNITY HOSPITAL HOME MEDICAL SUPPLY LLC

Practice address

812 Miller Ave Ste G
Sunnyside, WA 98944-2377

Phone

(509) 837-1700

Fax

(509) 836-0175

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Brian Gibbons

Title

Ceo

Phone

(509) 837-1797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457769119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 MILLER AVE",
            "address_2": "STE G",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442374",
            "telephone_number": "509-837-1700",
            "fax_number": "509-836-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 MILLER AVE STE G",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442377",
            "telephone_number": "509-837-1700",
            "fax_number": "509-836-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNYSIDE COMMUNITY HOSPITAL HOME MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-837-1797",
        "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": []
}

• Sunnyside Community Hospital Association
• Sunnyside Community Hospital Association
• Sunnyside Community Hospital Association
• Sunnyside Community Hospital Association
• Sunnyside Community Hospital Association
• Sunnyside Emergency Group a Professional LLC
• Sunnyside Family Medicine, PC
• Sunnyside Family Practice PLLC
• Sunnyside Home Health
• Sunnyside Physical & Sports Therapy

• All providers in Sunnyside, WA
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.