Organization Active NPI

Saratoga Enterprises Inc

  • Durable Medical Equipment & Medical Supplies
  • Coupeville, WA
National Provider Identifier
1922170927
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
601604070 Issued in WA
Legal business name
SARATOGA ENTERPRISES INC
Practice address
40 N Main St
Coupeville, WA 98239-9556
Phone
(360) 331-4763
Fax
(360) 331-7542
NPI assigned
Nov 14, 2006
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Ronald G Lind
Title
RPH President
Phone
(360) 331-4763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 601604070 WA Primary

Addresses

Primary practice location

40 N Main St
Coupeville, WA 98239-9556

Mailing address

PO Box 70
Coupeville, WA 98239-0070
Phone (360) 331-4763

Other identifiers 1

IdentifierTypeStateIssuer
9063157MedicaidWA

National Provider Directory

National Provider Directory

Locations

40 N Main St
Coupeville, WA 98239
Phone (360) 331-4763

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1922170927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982390070",
            "telephone_number": "360-331-4763",
            "fax_number": "360-331-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N MAIN ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982399556",
            "telephone_number": "360-331-4763",
            "fax_number": "360-331-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "RPH PRESIDENT",
        "authorized_official_telephone_number": "360-331-4763"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "601604070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9063157",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.