Organization 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
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
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

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. Matthew Bowman
Title
Ceo
Phone
(360) 632-2192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9056797MedicaidWA

Other names 1

  • A Plus Diabetic Supply Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.