SIGNATURE MEDICAL SUPPLY
NPI 1104829258
Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition in Wilsonville,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 23, 2005

Contact Information

25117 Sw Parkway Ave
Wilsonville,
Post Code: 97070
Phone: (503) 783-2483
Fax: (503) 783-2480

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Signature Medical Supply in Wilsonville - Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

Signature Medical Supply is a Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition in Wilsonville, . Signature Medical Supply practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition. The NPI Number for Signature Medical Supply is 1104829258. The last update date is 2010-01-21.

Signature Medical Supply's current location address is 25117 Sw Parkway Ave, Wilsonville, . You can contact this provider via phone number (503) 783-2483 and fax number (503) 783-2480. The mailing address for Signature Medical Supply is 25117 Sw Parkway Ave, Wilsonville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104829258
Provider Legal Name
AVAMERE MEDICAL SUPPLY LLC
Other Organization Name
SIGNATURE MEDICAL SUPPLY
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
25117 Sw Parkway Ave, Wilsonville,
Location Phone
(503) 783-2483
Location Fax
(503) 783-2480
Mailing Address
25117 Sw Parkway Ave, Wilsonville, Oregon(OR)
Mailing Phone
503-783-2483
Mailing Fax
503-783-2480
Enumeration Date
2005-05-23
Last Update Date
2010-01-21
Code Navigator

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, Nursing Facility Supplies

Taxonomy Code
332BN1400X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 332BP3500X Parenteral & Enteral Nutrition Supplies (DME)

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

()

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
230869 MEDICAID (05) Oregon (OR)
9052515 MEDICAID (05) Washington (WA)
MS001OR MEDICAID (05) Alaska (AK)

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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.
1104829258
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416218210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 210416218210
2 + 1 + 0 + 4 + 1 + 6 + 2 + 1 + 8 + 2 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1104829258 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033112271 DAVID CANDELARIA
Individual
Family Medicine 280 MAPLE ST
ASHLAND, Oregon (OR)
541-201-4000
1043213143 PHILIP Y PADEN EYE CARE OPTICAL
PADEN EYE CARE OPTICAL
Organization
Eyewear Supplier (Equipment, not the service) 221 W STEWART AVE
MEDFORD, Oregon (OR)
541-776-9026
1033112594 CITY OF SALEM
SALEM AREA MEDICAL TRANSPORT
Organization
Ambulance, Land Transport 2742 25TH ST SE
SALEM, Oregon (OR)
503-588-6271
1033112636 OREGON PEDORTHIC SERVICES
ARCHFITTERS
Organization
Durable Medical Equipment & Medical Supplies PO BOX 608
GRESHAM, Oregon (OR)
503-491-1723
1083617658 LUIS FERNANDO CARRILLO
Individual
Nurse Practitioner, Family 6538 N KERBY AVE
PORTLAND, Oregon (OR)
503-283-8351