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Organization
NORTHWEST MEDICAL, LLC.
Active
Organization
NORTHWEST MEDICAL, LLC.
Active
Parent organization
GREAT ELM HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREAT ELM HEALTHCARE, LLC
Authorized official
GREGORY J CRAWFORD (PRESIDENT)
(859) 441-8876
Entity
Organization
Contact information
Practice address
939 HARLOW RD STE 120, SPRINGFIELD, OR 97477-1190
(541) 485-4395
(541) 228-9006
Mailing address
2330 W BROADWAY RD STE 107, MESA, AZ 85202-1886
(480) 830-7700
(480) 750-2000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
07/04/2006
Last updated
05/10/2023
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