GENEVA WOODS HEALTH SUPPLIES PNW, LLC (NPI# 1942339015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942339015 |
| Entity Type | Organization |
| Organization Name | GENEVA WOODS HEALTH SUPPLIES PNW, LLC |
| Other Organization Name | MYMEDSUPPLIES |
| Practice Address |
6149 Martin Way E Lacey WA 98516-5547 |
| Practice Telephone | 3604565475 |
| Practice Fax Number | 3604565182 |
| Mailing Telephone | 3604565475 |
| Mailing Fax Number | 3604565182 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | DAN AFRASIABI (PRESIDENT/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9079294743 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
604-124-465 | WA | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 604-124-465 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1942339015 | 05 | |
| OR | 500736762 | 05 | |
| WA | 2092007 | 05 |
| Other Name | Type Code |
|---|---|
| MyMedSupplies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174917579 | Geneva Woods Health Supplies Pnw, LLC | Durable Medical Equipment & Medical Supplies | 6326 E Trent Ave Ste A, Spokane Valley, WA 99212-1220 | 2015-03-24 |
| 1043604655 | Geneva Woods Health Supplies Pnw, LLC | Durable Medical Equipment & Medical Supplies | 6600 Ne 112th Ct Ste 101, Vancouver, WA 98662-5496 | 2015-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GENEVA WOODS HEALTH SUPPLIES PNW, LLC | 501 W International Airport Rd. Ste 1a, Anchorage, AK 99518 |
| Washington State Corporations | GENEVA WOODS HEALTH SUPPLIES PNW, LLC | 501 W International Airport Rd, Ste 1a, Anchorage, AK 99518-1106 |
| Oregon Corporations, Companies and Business Names | GENEVA WOODS HEALTH SUPPLIES PNW, LLC | 501 W International Airport Rd Ste 1a, Anchorage, AK 99518 |
| Street Address |
6149 MARTIN WAY E |
| City | LACEY |
| State | WA |
| Zip Code | 98516-5547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
| Find all providers in zip 98516 | ||||
| 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 |
|---|---|---|---|---|
| 1275941361 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 5110 Yelm Hwy Se, Lacey, WA 98503-5060 | 2014-08-01 |
| 1144490145 | Olympia Orthopaedic Associates, Pllc | Durable Medical Equipment & Medical Supplies | 8140 Freedom Lane Ne, Lacey, WA 98516 | 2008-03-05 |
| 1912071440 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 700 Sleater Kinney Rd Ne, Lacey, WA 98503 | 2006-11-17 |
| 1851400170 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 4776 Whitman Lane Se, Lacey, WA 98513-2246 | 2006-08-30 |
| 1912016221 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 8230 Martin Way East, Lacey, WA 98516-5726 | 2006-08-30 |
| 1275642589 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 691 Sleater Kinney Road Southeast, Lacey, WA 98503-1007 | 2006-08-30 |
| 1649285628 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8333 Martin Way E, Lacey, WA 98516-5808 | 2006-07-29 |
| 1568477537 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4540 Lacey Blvd Se, Lacey, WA 98503-5719 | 2006-07-29 |
| 1457373144 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 665 Sleater Kinney Rd Se, Lacey, WA 98503-1007 | 2006-07-24 |
| 1821015959 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | 2006-07-16 |
| Find all providers in LACEY | ||||
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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.