Signature Medical Supply
LBN: Avamere Medical Supply Llc
Signature Medical Supply is an health care organization with primary practice located at 25117 Sw Parkway Ave Ste F, Wilsonville OR 97070-9697. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Nursing Facility Supplies is the primary health care specialty.
Avamere Medical Supply Llc can be contacted via phone (503) 783-2483, or through Dillon, Richard A. via phone (971) 224-2819.
Contact Information
Primary practice address
25117 Sw Parkway Ave Ste F
Wilsonville OR 97070-9697
Phone: (503) 783-2483
Fax: (503) 783-2480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Nursing Facility Supplies | 332BN1400X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X |
Profile Details
| NPI number | 1104829258 |
|---|---|
| LBN Legal business name | Avamere Medical Supply Llc |
| DBA Doing business as | Signature Medical Supply |
| Authorized official | Dillon, Richard A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Jan 21st, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104829258 | NPPES |
| Oregon | MEDICAID | 230869 | |
| Oregon | MEDICAID | 9052515 | |
| Oregon | MEDICAID | MS001OR |
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