Active NPI
Cascade Medical Supply Inc
- Parenteral & Enteral Nutrition Supplies (DME)
- Redmond, WA
National Provider Identifier
1639160229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 602 158 743
- Legal business name
- CASCADE MEDICAL SUPPLY INC
- Practice address
- 14727 NE 87TH St
Redmond, WA 98052-6500 - Phone
- (866) 433-0504
- Fax
- (866) 433-3306
- NPI assigned
- Nov 2, 2005
- 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
- Theodore M Hirsch
- Title
- VP of Operations
- Phone
- (800) 445-9622
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | WA | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 602 158 743 | WA | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | WA |
Addresses
Primary practice location
14727 NE 87TH St
Redmond, WA 98052-6500
Mailing address
PO Box 681646
Franklin, TN 37068-1646
Phone (615) 771-8839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9061854 | Medicaid | WA |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1922248749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321833600000",
"number": "1639160229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 681646",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370681646",
"telephone_number": "615-771-8839",
"fax_number": "615-550-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14727 NE 87TH ST",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526500",
"telephone_number": "866-433-0504",
"fax_number": "866-433-3306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2011-11-21",
"status": "A",
"authorized_official_last_name": "HIRSCH",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "800-445-9622"
},
"taxonomies": [
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "WA",
"license": "602 158 743",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "WA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9061854",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.