Active NPI
Coyote Stone, LLC
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
National Provider Identifier
1952790032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191017000513 | WA | DME Supplier - Medical Supply Company | 6103157441 | Practice locations: Vancouver, WA |
National Provider Directory
National Provider DirectoryLocations
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.