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GENEVA WOODS HEALTH SUPPLIES PNW LLC NPI 1942339015


NPI Information

NPI: 1942339015
Provider Name: GENEVA WOODS HEALTH SUPPLIES PNW, LLC

Doing Business As: MYMEDSUPPLIES

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
6149 MARTIN WAY E
LACEY, WA
ZIP 98516
Phone: (360) 456-5475
Get Directions

GENEVA WOODS HEALTH SUPPLIES PNW, LLC is a durable medical equipment medical supplies in Lacey, WA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GENEVA WOODS HEALTH SUPPLIES PNW, LLC NPI is 1942339015. The provider is registered as an organization entity type.
The provider Is Doing Business As Mymedsupplies.

The provider's business location address is:

6149 MARTIN WAY E
LACEY, WA
ZIP 98516-547
Phone: (360) 456-5475
Fax: (360) 456-5182

The provider's authorized official is Dan Afrasiabi .
The authorized official title is President/authorized Official and has the following contact phone number (888) 441-1312.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 9/9/2021.


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
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition604-124-465WASHINGTONNo
2332B00000XDurable Medical Equipment & Medical Supplies604-124-465WASHINGTONYes

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
1500736762MEDICAIDOREGON
21942339015MEDICAIDIDAHO
32092007MEDICAIDWASHINGTON

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: 11/14/2023

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