FOOTHILLS MEDICAL SUPPLY, LLC; NPI #1285178210

Contact Information

FOOTHILLS MEDICAL SUPPLY, LLC

200 HAWTHORNE AVE SE STE A130
SALEM, OR 97301-0074

Phone: 503-496-5239
Fax: 503-343-6554
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for FOOTHILLS MEDICAL SUPPLY, LLC

NPI # 1285178210

LBN Legal business name FOOTHILLS MEDICAL SUPPLY, LLC

Authorized official PAULA LANCE - (COO)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/09/2016

Last updated 01/30/2024 - About 2 years ago

Identifiers

OR	License #	1687801-4
OR	Medicaid	115951
OR	Medicaid	1285178210

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FOOTHILLS MEDICAL SUPPLY, LLC

Contact Information

Specialty

Oxygen Equipment & Supplies

NPI Profile & details for FOOTHILLS MEDICAL SUPPLY, LLC

Reviews for FOOTHILLS MEDICAL SUPPLY, LLC