NORTHWEST HOME MEDICAL INC (NPI# 1093774044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093774044 |
| Entity Type | Organization |
| Organization Name | NORTHWEST HOME MEDICAL INC |
| Other Organization Name | IRONWOOD MEDICAL SUPPLY & OXYGEN |
| Practice Address |
2120 W Ironwood Center Dr Coeur D Alene ID 83814-2639 |
| Mailing Address |
Po Box 27968 Salt Lake City UT 84127-0968 |
| Practice Telephone | 2087650930 |
| Practice Fax Number | 2087655255 |
| Mailing Telephone | 5709668030 |
| Mailing Fax Number | 5709668040 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | MRS. ROBIN L MENCHEN (CHIEF ADMINISTRTION OFFICER) |
| Authorized Official Telephone | 4078224600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROTECH HEALTHCARE INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1093774044 | 05 | |
| ID | 002579900 | 05 |
| Other Name | Type Code |
|---|---|
| IRONWOOD MEDICAL SUPPLY & OXYGEN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497714497 | Northwest Home Medical Inc | Durable Medical Equipment & Medical Supplies | 2329 Wheaton Way, Bremerton, WA 98310-4347 | 2006-03-20 |
| 1336108315 | Northwest Home Medical Inc | Durable Medical Equipment & Medical Supplies | 15320 E Marietta Ave, Suite 4, Spokane Valley, WA 99216-1870 | 2006-03-20 |
| Street Address |
2120 W IRONWOOD CENTER DR |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083811475 | Sean Tristan Lawrence Cook | Internal Medicine | 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2007-06-28 |
| 1104138247 | Natalie Rose Cooper | Physical Medicine & Rehabilitation | 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2010-07-06 |
| 1891977278 | Melanie Enderwick | Internal Medicine | 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689956575 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 1801 N Government Way, Suite 3, Coeur D Alene, ID 83814 | 2011-09-15 |
| 1871711903 | Premier Medical Inc. | Durable Medical Equipment & Medical Supplies | 2900 N Government Way, Coeur D Alene, ID 83815-3751 | 2007-04-23 |
| 1083785760 | Wayne Clair Johnson | Durable Medical Equipment & Medical Supplies | 3115 N Govt Way, Suite #7, Coeur D Alene, ID 83815-3790 | 2006-11-13 |
| 1053420596 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 208 West Ironwood Drive, Ironwood Square, Coeur D Alene, ID 83814-2640 | 2006-08-29 |
| 1962417089 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 335 W Appleway Ave, Coeur D Alene, ID 83814-9306 | 2006-07-29 |
| 1578592531 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1001 N 4th St, Coeur D Alene, ID 83814-3113 | 2006-07-02 |
| 1164468781 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 121 W Neider Ave, Coeur D Alene, ID 83815-9300 | 2006-06-21 |
| 1952347866 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 560 W Kathleen Ave, Coeur D Alene, ID 83815-8392 | 2006-06-20 |
| 1740289024 | Kootenai Outpatient Surgery Cntr LLC | Durable Medical Equipment & Medical Supplies | 707 W Ironwood Dr, Coeur D Alene, ID 83814-2772 | 2005-07-19 |
| 1194345199 | Kootenai Health | Durable Medical Equipment & Medical Supplies | 700 W Ironwood Dr Ste 159, Coeur D Alene, ID 83814-4401 | 2020-04-20 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on NORTHWEST HOME MEDICAL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.