ELITE MEDICAL INC (NPI# 1720555808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720555808 |
Entity Type | Organization |
Organization Name | ELITE MEDICAL INC |
Practice Address |
6002 Westgate Blvd Ste 272 Tacoma WA 98406-2571 |
Practice Telephone | 2062346182 |
Practice Fax Number | 2533838386 |
Mailing Telephone | 2062346182 |
Mailing Fax Number | 2533838386 |
Enumeration Date | 2018-10-26 |
Last Update Date | 2018-10-26 |
Authorized Official Name | TODD FREDERICK ELSTROM (OWNER) |
Authorized Official Telephone | 2062346182 |
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 | ELITE MEDICAL INC | 6002 Westgate Blvd Ste 272, Tacoma, WA 98406-2571 |
Street Address |
6002 WESTGATE BLVD STE 272 |
City | TACOMA |
State | WA |
Zip Code | 98406-2571 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972068070 | Misty Molina, Arnp | Midwife | 6002 Westgateblvd., Ste 120, Tacoma, WA 98406 | 2019-02-04 |
1538641238 | Julianne Marie Silla | Behavior Technician | 4414 6th Ave., Tacoma, WA 98406 | 2018-08-30 |
1659851194 | Holli Fadem | Behavioral Analyst | 4414 6th Ave, Tacoma, WA 98406 | 2018-08-15 |
1275013682 | Josephine Lynn Daniels | Counselor | 5929 Westgate Blvd., Suite A, Tacoma, WA 98406 | 2018-08-15 |
1821520388 | Cayla Passmore | Home Health Aide | 7320 6th Ave, Apt 2, Tacoma, WA 98406 | 2017-04-03 |
1134587355 | Chelsey Babcock | Massage Therapist | 1919 N Pearl St., #a4, Tacoma, WA 98406 | 2016-02-02 |
1366888992 | Philip Jones / Thomas Henry, D.o.s., P.s. | Dentist | 2102 N. Pearl Street, Suite 202, Tacoma, WA 98406 | 2013-05-22 |
1548512866 | Suzanne R Webster | Occupational Therapy Assistant | 2301 N Mildred, Tacoma, WA 98406 | 2012-10-10 |
1457609943 | Erika R. Sagle | Specialist | 1807 N. Stevens St., Tacoma, WA 98406 | 2012-08-15 |
1457616104 | Catherine M Jones | Pharmacy Technician | 3601 6th Ave S., Tacoma, WA 98406 | 2012-07-09 |
Find all providers in zip 98406 |
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 |
---|---|---|---|---|
1467095299 | Health First Home Health Care, Inc. | Durable Medical Equipment & Medical Supplies | 15 Oregon Ave Ste L1, Tacoma, WA 98409-7411 | 2019-10-24 |
1033621479 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 N Tacoma Ave Ste 101, Tacoma, WA 98403-3131 | 2017-10-25 |
1316482938 | Donald Joseph Dougherty Jr. | Durable Medical Equipment & Medical Supplies | 8411 Pacific Hwy E, Tacoma, WA 98422-3915 | 2017-01-05 |
1083006969 | Olympia Respiratory Services, LLC | Durable Medical Equipment & Medical Supplies | 1310 S Union Ave Ste B1, Tacoma, WA 98405-1907 | 2015-03-02 |
1487911665 | Robert Earl Stam Jr. | Durable Medical Equipment & Medical Supplies | 5510 6th Ave, Suite C, Tacoma, WA 98406-2646 | 2012-04-12 |
1801194618 | Ronaele | Durable Medical Equipment & Medical Supplies | 8632 S Asotin St, Tacoma, WA 98444-3174 | 2011-03-02 |
1255667291 | Security Management and Integration Company, Inc. | Durable Medical Equipment & Medical Supplies | 1423 E 29th St, Suite 317, Tacoma, WA 98404-4008 | 2009-10-27 |
1760615538 | Sound Sleep Solutions | Durable Medical Equipment & Medical Supplies | 2201 S 19th St Ste 207, Tacoma, WA 98405-2961 | 2009-08-27 |
1821252701 | Wheelchair Works Inc | Durable Medical Equipment & Medical Supplies | 11106 25th Ave E, Ste A, Tacoma, WA 98445-5300 | 2008-07-10 |
1801085071 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 705 S 9th St Ste 103, Tacoma, WA 98405-4678 | 2007-10-23 |
Find all providers in TACOMA |
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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.