Active NPI
Family Care Health Information Network, Incorporated
Doing business as A Plus Diabetic Supply
- Durable Medical Equipment & Medical Supplies
- Oak Harbor, WA
National Provider Identifier
1902979073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- FAMILY CARE HEALTH INFORMATION NETWORK, INCORPORATED
- Doing business as
- A Plus Diabetic Supply
- Practice address
- 3157 Goldie Rd
Suite 107
Oak Harbor, WA 98277-2709 - Phone
- (360) 632-2192
- NPI assigned
- Nov 16, 2006
- 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. Matthew Bowman
- Title
- Ceo
- Phone
- (360) 632-2192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3157 Goldie Rd
Suite 107
Oak Harbor, WA 98277-2709
Mailing address
3157 Goldie Rd
Suite 107
Oak Harbor, WA 98277-2709
Phone (360) 632-2192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9056797 | Medicaid | WA |
Other names 1
- A Plus Diabetic Supply
National Provider Directory
National Provider DirectoryLocations
3157 Goldie Rd
Ste 107
Oak Harbor, WA 98277
Phone (360) 632-2192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902979073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3157 GOLDIE RD",
"address_2": "SUITE 107",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982772709",
"telephone_number": "360-632-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3157 GOLDIE RD",
"address_2": "SUITE 107",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982772709",
"telephone_number": "360-632-2192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE HEALTH INFORMATION NETWORK, INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BOWMAN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-632-2192",
"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": "9056797",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "A Plus Diabetic Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Harbor, 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.