Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL SUPPLY, INC.

Practice address

131 Cedar Ave
Snohomish, WA 98290-2955

Phone

(360) 563-9500

Fax

(360) 568-0937

NPI assigned

Nov 7, 2006

Last updated

Jun 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stan Bailey

Title

President

Phone

(360) 563-2156

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1922177443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CEDAR AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902955",
            "telephone_number": "360-563-9500",
            "fax_number": "360-568-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CEDAR AVE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902955",
            "telephone_number": "360-563-9500",
            "fax_number": "360-568-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-563-2156"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "611533800",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9050139",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9037920",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.D.D.",
            "identifier": "872882",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0112953",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9037938",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori McConnell, DPT
• Mary J McGee
• Cheney Diane McGowan, LMP
• Julia McIntosh, DPT
• Scott Patrick McVay
• Megan Kayle Mendez, LMP
• Martin Kristianto Messah, D.D.S.
• Michael L. George DDS, MSD
• Michelle Lechnyr, Ma, LMFT, LLC
• Breeana Elise Milani, OT

• Durable Medical Equipment & Medical Supplies in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.