Organization Active NPI

Cascade Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
National Provider Identifier
1922248749
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CASCADE MEDICAL SUPPLY, INC.
Practice address
3601 SE Columbia Way
Suite 190
Vancouver, WA 98661-8056
Phone
(360) 695-6461
Fax
(360) 695-3064
NPI assigned
Mar 6, 2009
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CASCADE MEDICAL SUPPLY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Theodore M Hirsch
Title
VP of Operations
Phone
(800) 445-9622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

3601 SE Columbia Way
Suite 190
Vancouver, WA 98661-8056

Mailing address

720 Cool Springs Blvd
Suite 600
Franklin, TN 37067-2626
Phone (800) 445-9622

Other identifiers 1

IdentifierTypeStateIssuer
228870MedicaidOR

National Provider Directory

National Provider Directory
Part of
Cascade Medical Supply Inc

Locations

3601 SE Columbia Way
Ste 190
Vancouver, WA 98661
Phone (360) 695-6461

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1922248749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 COOL SPRINGS BLVD",
            "address_2": "SUITE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672626",
            "telephone_number": "800-445-9622",
            "fax_number": "615-771-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SE COLUMBIA WAY",
            "address_2": "SUITE 190",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618056",
            "telephone_number": "360-695-6461",
            "fax_number": "360-695-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADE MEDICAL SUPPLY, INC.",
        "enumeration_date": "2009-03-06",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "800-445-9622"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228870",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.