Convalescent Equipment and Supply Co. Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

600561377 Issued in WA

Legal business name

CONVALESCENT EQUIPMENT AND SUPPLY CO. INC.

Practice address

1251 Officers Row
Vancouver, WA 98661-3854

Phone

(877) 552-3726

Fax

(425) 774-0420

NPI assigned

Mar 10, 2014

Last updated

Mar 11, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

CONVALESCENT EQUIPMENT AND SUPPLY CO. INC.As reported in NPPES

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

Authorized official

Name

Michael P Cordova

Title

President

Phone

(425) 774-0083

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Convalescent Equip Su

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Convalescent Equipment & Supply Co. Inc.

  • Durable Medical Equipment & Medical Supplies
  • Edmonds, WA
  • NPI 1194822213
  NPPES parent name

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1710303169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 OFFICERS ROW",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613854",
            "telephone_number": "877-552-3726",
            "fax_number": "425-774-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 OFFICERS ROW",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613854",
            "telephone_number": "877-552-3726",
            "fax_number": "425-774-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVALESCENT EQUIPMENT AND SUPPLY CO. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONVALESCENT EQUIPMENT AND SUPPLY CO. INC.",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-774-0083"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "600561377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500666641",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9006958",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Consumer Voices Are Born (Val Ogden Center)
• Michael Conte
• Contemporary Chiropractic PS
• Contigo Therapy and Consultation Services PLLC
• Rufina Contreras Lopez
• Michael F. Conway, N.D.
• Monica Lynn Conway, BFA
• Rebecca V Conway, RN
• Annelise Cook
• Ashley Cook, RDN, CDN, CNSC

• Durable Medical Equipment & Medical Supplies in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.