Organization Active NPI

Pacific Medical Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • North Bend, OR
National Provider Identifier
1598978280
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PACIFIC MEDICAL SERVICES, LLC
Practice address
2674 Broadway St
North Bend, OR 97459-2214
Phone
(541) 756-9016
Fax
(541) 756-9017
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Mr. Darrel M. Woodruff
Title
Member of LLC
Phone
(775) 722-4870

Specialties & licenses 1

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

Addresses

Primary practice location

2674 Broadway St
North Bend, OR 97459-2214

Mailing address

2674 Broadway St
North Bend, OR 97459-2214
Phone (541) 756-9016

National Provider Directory

National Provider Directory

Locations

2674 Broadway Ave
North Bend, OR 97459
Phone (541) 756-5660

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1598978280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 BROADWAY ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592214",
            "telephone_number": "541-756-9016",
            "fax_number": "541-756-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2674 BROADWAY ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592214",
            "telephone_number": "541-756-9016",
            "fax_number": "541-756-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "775-722-4870",
        "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": []
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.