Organization Active NPI

Mi-Med Supply Co. Inc.

  • Durable Medical Equipment & Medical Supplies
  • Spokane, WA
National Provider Identifier
1467532234
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
603243565 Issued in WA
Legal business name
MI-MED SUPPLY CO. INC.
Practice address
222 W Mission Ave Ste 125
Spokane, WA 99201-2341
Phone
(509) 725-7008
Fax
(866) 397-3731
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Claudio Galeno de Araujo Filho
Title
President and Director
Phone
(772) 292-7733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 603243565 WA Primary

Addresses

Primary practice location

222 W Mission Ave Ste 125
Spokane, WA 99201-2341

Mailing address

PO Box 674553
Detroit, MI 48267-4553
Phone (866) 897-8588

Other identifiers 3

IdentifierTypeStateIssuer
1467532234MedicaidID
1752666MedicaidAK
2047655MedicaidWA

Other names 1

  • Experea Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150217000771 WA DME Supplier - Medical Supply Company 1254536212 Practice locations: Spokane, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mi-Med Supply Co., Inc.222 W Mission Ave, Spokane, WA 99201-2341(509) 725-7008 Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory
Tax ID family
Mi-Med Supply Co Inc2 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.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1467532234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674553",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674553",
            "telephone_number": "866-897-8588",
            "fax_number": "772-607-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE STE 125",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012341",
            "telephone_number": "509-725-7008",
            "fax_number": "866-397-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI-MED SUPPLY CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "ARAUJO FILHO",
        "authorized_official_first_name": "CLAUDIO",
        "authorized_official_middle_name": "GALENO DE",
        "authorized_official_title_or_position": "PRESIDENT AND DIRECTOR",
        "authorized_official_telephone_number": "772-292-7733"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "603243565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467532234",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1752666",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047655",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Experea Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.