Organization Name: | WILLIAM C. GIMNESS, O.D., P.S. |
NPI Number: | 1871650648 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM CHARLES GIMNESS (DIRECTOR) |
Mailing Address: | 306 N. Park St Chewelah |
State: | WA US |
Postal Code: | 99109 |
Phone Number: | 5099352020 |
Fax Number: | 5099356795 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 12/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | OD00001225 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |