Organization Active NPI

Hillside Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Homer, AK
National Provider Identifier
1811230816
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
986050 Issued in AK
Legal business name
HILLSIDE MEDICAL SUPPLY
Practice address
3994 Beluga Cir
Homer, AK 99603-7712
Phone
(907) 435-0676
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Faye Michelle Arno
Title
Partner
Phone
(907) 435-0676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 986050 AK Primary

Addresses

Primary practice location

3994 Beluga Cir
Homer, AK 99603-7712

Mailing address

3994 Beluga Cir
Homer, AK 99603-7712
Phone (907) 435-0676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1811230816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3994 BELUGA CIR",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037712",
            "telephone_number": "907-435-0676",
            "fax_number": "907-435-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3994 BELUGA CIR",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037712",
            "telephone_number": "907-435-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "ARNO",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "907-435-0676"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AK",
            "license": "986050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.