# NORTHWEST MEDICAL, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREAT ELM HEALTHCARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417987488
- **Legal business name:** GREAT ELM HEALTHCARE, LLC
- **Authorized official:** GREGORY J CRAWFORD (PRESIDENT)
- **Authorized official phone:** (859) 441-8876

## Contact information

- **Practice address:** 939 HARLOW RD STE 120, SPRINGFIELD, OR 97477-1190
- **Practice address phone:** (541) 485-4395
- **Practice address fax:** (541) 228-9006
- **Mailing address:** 2330 W BROADWAY RD STE 107, MESA, AZ 85202-1886
- **Mailing address phone:** (480) 830-7700
- **Mailing address fax:** (480) 750-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 05/10/2023