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
332902 HIGHWAY 2, NEWPORT, WA 99156-5165
(509) 447-5332
(509) 447-2814
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
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7123698
—
WA
05
—
805398300
—
ID
05
—
9040809
—
WA
05
—
9055377
—
WA
05
—
9055385
—
WA
05
—
9055393
—
WA
Enumeration date
08/28/2006
Last updated
03/04/2010
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