Active NPI
Wound Solutions LLC
- Durable Medical Equipment & Medical Supplies
- Spokane, WA
National Provider Identifier
1487964904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 602825451
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 332B00000X | Medicaid | WA | |
| 1487964904 | Medicaid | MT | |
| 807670500 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
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.