Organization
GRACE MEDICAL SUPPLY LLC
Active
Parent organization
JILL SCOTT
Other names
Grace Medical Supply LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JILL SCOTT
Authorized official
JILL SCOTT (OWNER)
(509) 557-6300
Entity
Organization
Contact information
Practice address
203 2ND AVE S, SUITE 112, OKANOGAN, WA 98840
(509) 557-6300
(509) 557-6380
Mailing address
202 E BARTLETT AVE, OMAK, WA 98841-9332
(509) 557-6300
(509) 557-6380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912462649
NPI
WA
05
—
1912462649
—
WA
Enumeration date
04/25/2022
Last updated
04/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us