Pro-Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRO-MEDICAL, LLC

Practice address

1710 Willow Creek Cir
Eugene, OR 97402-9192

Phone

(877) 343-3758

Fax

(866) 200-5071

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Brian Baumgartner

Title

Ceo/Owner

Phone

(877) 343-3758

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1679038632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 WILLOW CREEK CIR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029192",
            "telephone_number": "877-343-3758",
            "fax_number": "866-200-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 WILLOW CREEK CIR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974029192",
            "telephone_number": "877-343-3758",
            "fax_number": "866-200-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "877-343-3758"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Eugene, OR
• Providers in Eugene, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.