Organization Active NPI

Wound Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Spokane, WA
National Provider Identifier
1487964904
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
602825451 Issued in WA
Legal business name
WOUND SOLUTIONS LLC
Practice address
3807 E Bismark Ave
Spokane, WA 99217-6504
Phone
(509) 279-2629
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Juli Shogan, RN
Title
Owner
Phone
(509) 953-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 602825451 WA Primary

Addresses

Primary practice location

3807 E Bismark Ave
Spokane, WA 99217-6504

Mailing address

17311 N Golden Dr
Colbert, WA 99005-9677
Phone (509) 953-1566

Other identifiers 3

IdentifierTypeStateIssuer
332B00000XMedicaidWA
1487964904MedicaidMT
807670500MedicaidID

National Provider Directory

National Provider Directory

Locations

3916 E Chattaroy Rd
Chattaroy, WA 99003
Phone (509) 279-2629

3807 E Bismark Ave
Spokane, WA 99217
Phone (509) 279-2629

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1487964904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17311 N GOLDEN DR",
            "city": "COLBERT",
            "state": "WA",
            "postal_code": "990059677",
            "telephone_number": "509-953-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 E BISMARK AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992176504",
            "telephone_number": "509-279-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "SHOGAN",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-953-1566",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "602825451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332B00000X",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487964904",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807670500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2010; 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.