Organization Active NPI

Coyote Stone, LLC

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
National Provider Identifier
1952790032
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COYOTE STONE, LLC
Practice address
10818 NE Coxley Dr Ste L
Vancouver, WA 98662-6163
Phone
(888) 211-6036
Fax
(360) 395-6700
NPI assigned
Jan 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Cindy Towne
Title
VP Operations
Phone
(888) 211-6036

Specialties & licenses 1

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

Addresses

Primary practice location

10818 NE Coxley Dr Ste L
Vancouver, WA 98662-6163

Mailing address

22804 NE 185TH Cir
Brush Prairie, WA 98606-8301

Other practice location 1

22804 NE 185th Cir
Brush Prairie, WA 98606-8301
Phone (360) 607-7469

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191017000513 WA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 6103157441 Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

10818 NE Coxley Dr
Ste L
Vancouver, WA 98662
Phone (360) 949-7199

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1952790032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22804 NE 185TH CIR",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986068301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 NE COXLEY DR STE L",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626163",
            "telephone_number": "888-211-6036",
            "fax_number": "360-395-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22804 NE 185th Cir",
            "address_purpose": "LOCATION",
            "city": "Brush Prairie",
            "state": "WA",
            "postal_code": "986068301",
            "country_code": "US",
            "telephone_number": "360-607-7469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COYOTE STONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "TOWNE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "888-211-6036"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "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 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.