Active NPI
McKesson Medical-Surgical Medinet Inc.
- Durable Medical Equipment & Medical Supplies
- Tigard, OR
National Provider Identifier
1861499873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MCKESSON MEDICAL-SURGICAL MEDINET INC.
- Practice address
- 10220 SW Greenburg Rd
2 Lincoln Center, Suite 410
Tigard, OR 97223-5503 - Phone
- (800) 722-0422
- NPI assigned
- Jul 5, 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
- Mr. Bill D Blanchfill
- Title
- VP/Chief Compliance Officer
- Phone
- (763) 595-6130
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
10220 SW Greenburg Rd
2 Lincoln Center, Suite 410
Tigard, OR 97223-5503
Mailing address
8121 10TH Ave N
Department 312
Golden Valley, MN 55427-4401
Phone (800) 328-8111
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00692293X | Medicaid | GA | |
| MS726MN | Medicaid | AL | |
| 0914630 | Medicaid | IA | |
| 158241 | Medicaid | OR | |
| 66875544 | Medicaid | CO | |
| 54506401 | Medicaid | HI | |
| 1850083 | Medicaid | MA | |
| 1667498 | Medicaid | LA | |
| DME01751G | Medicaid | CA | |
| 0000687416 | Medicaid | DE | |
| 00951070 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
8121 10th Ave N
#312
Golden Valley, MN 55427
10220 SW Greenburg Rd
Ste 410
Tigard, OR 97223
Phone (800) 722-0422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861499873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8121 10TH AVE N",
"address_2": "DEPARTMENT 312",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554274401",
"telephone_number": "800-328-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10220 SW GREENBURG RD",
"address_2": "2 LINCOLN CENTER, SUITE 410",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235503",
"telephone_number": "800-722-0422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKESSON MEDICAL-SURGICAL MEDINET INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BLANCHFILL",
"authorized_official_first_name": "BILL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VP/CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "763-595-6130",
"authorized_official_name_prefix": "Mr."
},
"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": "00692293X",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MS726MN",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0914630",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158241",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66875544",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54506401",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1850083",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1667498",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME01751G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000687416",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00951070",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
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.