PACIFIC MEDICAL (NPI# 1407334527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407334527 |
| Entity Type | Organization |
| Organization Name | PACIFIC MEDICAL |
| Practice Address |
505 E 500 N Provo UT 84606-3047 |
| Practice Telephone | 4358681001 |
| Mailing Telephone | 4358681001 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | TAYLOR EDWARDS (PRESIDENT) |
| Authorized Official Telephone | 4358681001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PACIFIC MEDICAL & CHIROPRACTIC, P.S. | 8909 Gravelley Lake Dr Sw, Lakewood, WA 98499 |
| Oregon Corporations, Companies and Business Names | PACIFIC MEDICAL & IMAGING MANAGEMENT, LLC | 12736 N Umpqua Hwy, Roseburg, OR 97470 |
| Oregon Corporations, Companies and Business Names | PACIFIC MEDICAL AND SURGICAL GROUP | 729 S Wahanna, Seaside, OR 97138 |
| New York State Corporations | PACIFIC MEDICAL ASSOCIATES, PC | 725 River Road, Suite 202, Edgewater, Nj 07020 |
| Washington State Corporations | PACIFIC MEDICAL BUILDING, LLC | 20669 Bond Road Ne, Poulsbo, WA 98370 |
| System for Award Management (SAM) Entities | PACIFIC MEDICAL CENTERS | 1200 12th Ave S, Seattle, WA 98144-2712 |
| Colorado Business Entities | Pacific Medical Data Solutions, Inc. | 8051 E. Maplewood Avenue, Suite 160, Greenwood Village, CO 80111 |
| Oregon Corporations, Companies and Business Names | PACIFIC MEDICAL DATA SOLUTIONS, INC. | 4605 Wing Way 2nd Floor, Paso Robles, CA 93446 |
| Washington State Corporations | PACIFIC MEDICAL DESIGN, L.L.C. | 2023 E Sims Way #327, Port Townsend, WA 98368 |
| Washington State Corporations | PACIFIC MEDICAL DEVICE CONSULTING LLC | 21720 Monument Rd Sw, Vashon, WA 98070-6619 |
| Street Address |
505 E 500 N |
| City | PROVO |
| State | UT |
| Zip Code | 84606-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| Find all providers in zip 84606 | ||||
| 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 |
|---|---|---|---|---|
| 1184058810 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1273 N University Ave, Provo, UT 84604-2603 | 2013-08-29 |
| 1659671378 | Compumed, Inc. | Durable Medical Equipment & Medical Supplies | 3909 Foothill Dr, Provo, UT 84604-5376 | 2010-10-28 |
| 1245413772 | Jamestown Eye Care Center LLC | Durable Medical Equipment & Medical Supplies | 3651 N 100 E Ste 250, Provo, UT 84604-4518 | 2007-12-06 |
| 1225219587 | Modern Shoe, Inc. | Durable Medical Equipment & Medical Supplies | 350 W Center St, Provo, UT 84601-4323 | 2007-11-15 |
| 1427119593 | B and H Medical | Durable Medical Equipment & Medical Supplies | 286 W Center St, Provo, UT 84601-4419 | 2006-12-13 |
| 1386741304 | Ihc Health Services Inc | Durable Medical Equipment & Medical Supplies | 289 W 1230 N, Provo, UT 84604-2546 | 2006-09-20 |
| 1316056609 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1324 North State Street, Riverside Plaza, Provo, UT 84604-2419 | 2006-08-30 |
| 1437176633 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 1313 S University Ave, Provo, UT 84601-5943 | 2006-07-16 |
| 1760407399 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 350 N Freedom Blvd, Provo, UT 84601-2810 | 2006-07-13 |
| 1437100518 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 2266 N University Pkwy, Provo, UT 84604-1510 | 2006-05-13 |
| Find all providers in PROVO | ||||
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| 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.