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HIGH DESERT MEDICAL SUPPLY LLC NPI 1902937519


NPI Information

NPI: 1902937519
Provider Name: HIGH DESERT MEDICAL SUPPLY, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1251 NE ELM ST STE 1B
PRINEVILLE, OR
ZIP 97754
Phone: (541) 447-4688
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HIGH DESERT MEDICAL SUPPLY, LLC is a durable medical equipment medical supplies in Prineville, OR. 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. HIGH DESERT MEDICAL SUPPLY, LLC NPI is 1902937519. The provider is registered as an organization entity type.

The provider's business location address is:

1251 NE ELM ST STE 1B
PRINEVILLE, OR
ZIP 97754-143
Phone: (541) 447-4688
Fax: (541) 447-1243

The provider's authorized official is Denise Marie Smith .
The authorized official title is Owner and has the following contact phone number (541) 447-4688.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNPC-0002734OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1275466MEDICAIDOREGON

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: 5/5/2024

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