Pacific Coast Medical Supply, Inc

LBN: Pacific Coast Medical Supply, Inc
Pacific Coast Medical Supply, Inc is an health care organization with primary practice located at 8080 E Mill Plain Blvd , Vancouver WA 98664-2002. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Pacific Coast Medical Supply, Inc can be contacted via phone (360) 695-5161, or through Stutznegger, Norman Duane via phone (503) 338-0349.

Contact Information

Primary practice address
8080 E Mill Plain Blvd Vancouver WA 98664-2002
Fax: (360) 695-2257
Website:
Authorized official contact:
Name: Stutznegger, Norman Duane

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X Washington
Suppliers / Oxygen Equipment & Supplies 332BX2000X Washington

Profile Details

NPI number 1952580953
LBN Legal business name Pacific Coast Medical Supply, Inc
DBA Doing business as
Authorized official Stutznegger, Norman Duane
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated Oct 26th, 2007 - about 18 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 1952580953 NPPES
Oregon MEDICAID 158971
Oregon MEDICAID 9046947

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