Organization
NORTHERN MEDICAL SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY HOLMES (OWNER)
(509) 935-4020
Entity
Organization
Contact information
Practice address
203 E MAIN AVE, CHEWELAH, WA 99109-8961
(509) 935-4020
(509) 935-4975
Mailing address
PO BOX 810, CHEWELAH, WA 99109-0810
(509) 935-4020
(509) 935-4975
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
601-052-775
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7014939
—
WA
05
—
7123698
—
WA
05
—
9019357
—
WA
05
—
9032210
—
WA
05
—
9040809
—
WA
05
—
9055377
—
WA
05
—
9055385
—
WA
05
—
9055393
—
WA
Enumeration date
03/01/2006
Last updated
01/14/2009
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