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NORTHERN NEVADA MEDICAL SUPPLY LLC NPI 1700819786


NPI Information

NPI: 1700819786
Provider Name: NORTHERN NEVADA MEDICAL SUPPLY, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1395 GREG ST
SUITE 102
SPARKS, NV
ZIP 89431
Phone: (775) 824-9911
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NORTHERN NEVADA MEDICAL SUPPLY, LLC is a customized equipment durable medical equipment medical supplies in Sparks, NV. NORTHERN NEVADA MEDICAL SUPPLY, LLC NPI is 1700819786. The provider is registered as an organization entity type.

The provider's business location address is:

1395 GREG ST
SUITE 102
SPARKS, NV
ZIP 89431-073
Phone: (775) 824-9911
Fax: (775) 824-9910

The provider's authorized official is Doug Catton .
The authorized official title is Managing Member and has the following contact phone number (775) 824-9911.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 4/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentMP00387NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100510205MEDICAIDNEVADA
25720560001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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