Organization Active NPI

Amicable Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Seatac, WA
National Provider Identifier
1710083068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMICABLE MEDICAL INC
Practice address
15220B 32ND Avenue South
Seatac, WA 98188
Phone
(206) 246-0550
Fax
(206) 246-0562
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Olandapo A Amosun
Title
Director of Operations
Phone
(206) 444-4810

Specialties & licenses 1

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

Addresses

Primary practice location

15220B 32ND Avenue South
Seatac, WA 98188

Mailing address

15220B 32ND Avenue South
Seatac, WA 98188
Phone (206) 246-0550

Other identifiers 1

IdentifierTypeStateIssuer
9056524MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Amicable Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15220B 32nd Ave S
Seatac, WA 98188
Phone (206) 246-0550

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710083068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15220B 32ND AVENUE SOUTH",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-246-0550",
            "fax_number": "206-246-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15220B 32ND AVENUE SOUTH",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-246-0550",
            "fax_number": "206-246-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICABLE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMOSUN",
        "authorized_official_first_name": "OLANDAPO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "206-444-4810"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056524",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seatac, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.