Liberty Lake Medical Supply

LBN: Liberty Lake Medical Supply
Liberty Lake Medical Supply is an health care organization with primary practice located at 22910 E Appleway Ave Ste 3 , Liberty Lake WA 99019-8606. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Liberty Lake Medical Supply can be contacted via phone (509) 891-2856, or through Chamberlain, Christy Lynn via phone (509) 891-2856.

Contact Information

Primary practice address
22910 E Appleway Ave Ste 3 Liberty Lake WA 99019-8606
Phone: (509) 891-2856
Fax: (509) 891-0125
Website:
Map and Directions
Authorized official contact:
Name: Chamberlain, Christy Lynn
Phone: (509) 891-2856

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 602016543 Washington

Profile Details

NPI number 1164763405
LBN Legal business name Liberty Lake Medical Supply
DBA Doing business as
Authorized official Chamberlain, Christy Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2013
Last updated Mar 12th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164763405 NPPES
Washington MEDICAID 1952522823

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