Organization Active NPI

McKesson Medical-Surgical Medinet Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tigard, OR
National Provider Identifier
1861499873
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
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

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
Mr. Bill D Blanchfill
Title
VP/Chief Compliance Officer
Phone
(763) 595-6130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00692293XMedicaidGA
MS726MNMedicaidAL
0914630MedicaidIA
158241MedicaidOR
66875544MedicaidCO
54506401MedicaidHI
1850083MedicaidMA
1667498MedicaidLA
DME01751GMedicaidCA
0000687416MedicaidDE
00951070MedicaidAL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.