Organization Active NPI

Med-Core Services Inc

  • Oxygen Equipment & Supplies (DME)
  • Olympia, WA
National Provider Identifier
1902914419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
LR00002535 Issued in WA
Legal business name
MED-CORE SERVICES INC
Practice address
6706 Martin Way E
Suite #1
Olympia, WA 98516-5540
Phone
(866) 225-4800
Fax
(866) 223-1200
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Renee Clontz, RRT
Title
President
Phone
(360) 705-0122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X LR00002535 WA Primary

Addresses

Primary practice location

6706 Martin Way E
Suite #1
Olympia, WA 98516-5540

Mailing address

6706 Martin Way E
Suite #1
Olympia, WA 98516-5540
Phone (866) 225-4800

Other identifiers 1

IdentifierTypeStateIssuer
9053091MedicaidWA

National Provider Directory

National Provider Directory

Locations

6706 Martin Way E
#1
Olympia, WA 98516
Phone (360) 455-5425

5343 N 118th Ct
Milwaukee, WI 53225
Phone (414) 476-1112

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902914419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6706 MARTIN WAY E",
            "address_2": "SUITE #1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165540",
            "telephone_number": "866-225-4800",
            "fax_number": "866-223-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6706 MARTIN WAY E",
            "address_2": "SUITE #1",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985165540",
            "telephone_number": "866-225-4800",
            "fax_number": "866-223-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CORE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLONTZ",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-705-0122",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": "LR00002535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9053091",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, 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.