High Desert Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

NPC-0002734 Issued in OR

Legal business name

HIGH DESERT MEDICAL SUPPLY, LLC

Practice address

1251 NE Elm St Ste 1B
Prineville, OR 97754-3143

Phone

(541) 447-4688

Fax

(541) 447-1243

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Marie Smith

Title

Owner

Phone

(541) 447-4688

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902937519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 NE ELM ST STE 1B",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977543143",
            "telephone_number": "541-447-4688",
            "fax_number": "541-447-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NE ELM ST STE 1B",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977543143",
            "telephone_number": "541-447-4688",
            "fax_number": "541-447-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-447-4688",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "NPC-0002734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275466",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Otto Henkel, CADC I
• Thomas Jason Hensley, CADCR
• Justin Higbee, D.D.S.
• Barbara L. Higgins, RN
• High Desert Healthcare
• Grant Hill, PSS
• Benjamin Hilleboe, MS
• Cassie Hoberecht, CRM-I
• Mark Hofer, CADC I
• Christian KS Holden

• Durable Medical Equipment & Medical Supplies in Prineville, OR
• Providers in Prineville, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• 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.