LIBERTY LAKE MEDICAL SUPPLY
NPI 1164763405
Durable Medical Equipment & Medical Supplies in Liberty Lake, WA

NPI Status: Active since March 12, 2013

Contact Information

22910 E APPLEWAY AVE STE 3
LIBERTY LAKE, WA
ZIP 99019
Phone: (509) 891-2856
Fax: (509) 891-0125

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About LIBERTY LAKE MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Liberty Lake Medical Supply, a provider established in Liberty Lake, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1164763405 assigned on March 2013. The practitioner's primary taxonomy code is 332B00000X with license number 602016543 (WA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Christy Lynn Chamberlain (President)

NPI
1164763405
Provider Name
LIBERTY LAKE MEDICAL SUPPLY
Entity Type
Organization
Location Address
22910 E APPLEWAY AVE STE 3 LIBERTY LAKE, WA 99019
Location Phone
(509) 891-2856
Location Fax
(509) 891-0125
Mailing Address
22910 E APPLEWAY AVE STE 3 LIBERTY LAKE, WA 99019
Mailing Phone
(509) 891-2856
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2013
Last Update Date
03-12-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
602016543
License State
WA
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTY LYNN CHAMBERLAIN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(509) 891-2856

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4084490001MEDICARE PIN (08)WA 
1952522823MEDICAID (05)WA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164763405
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124146640
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 6 + 6 + 4 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1164763405 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366863789LIBERTY LAKE MEDICAL SUPPLY, LLC
Organization
Durable Medical Equipment & Medical Supplies22910 E APPLEWAY AVE STE 3
LIBERTY LAKE, WA 99019
(509) 891-2856

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164763405, enumerated in the NPI registry as an "organization" on March 12, 2013

The provider is located at 22910 E Appleway Ave Ste 3 Liberty Lake, Wa 99019 and the phone number is (509) 891-2856

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 12, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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