PROBRACE, INC. NPI 1003019142

Durable Medical Equipment & Medical Supplies in Vancouver, WA

NPI 1003019142 Organization Durable Medical Equipment & Medical Supp...

NPI Profile for PROBRACE, INC.

Probrace, Inc. is a provider established in Vancouver, Washington specializing in durable medical equipment & medical supplies. The NPI number of Probrace, Inc. is 1003019142 and was assigned on June 2007. The practitioner's primary taxonomy code is 332B00000X with license number 602726221 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Peg Leland (Officer)

NPI

1003019142

Provider NamePROBRACE, INC.
Provider Location Address11802 NE 65TH ST STE 101 VANCOUVER, WA 98662
Provider Mailing Address11802 NE 65TH ST STE 101 VANCOUVER, WA 98662
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-07-2007
Last Update Date06-27-2008


Primary Taxonomy

Taxonomy Code332B00000X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
License No.602726221
License StateWA
Taxonomy DescriptionA 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.

Business Address

PROBRACE, INC.
11802 NE 65TH ST STE 101
VANCOUVER, WA
ZIP 98662
Phone: (800) 586-4403
Fax: (800) 586-4403

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Mailing Address

PROBRACE, INC.
11802 NE 65TH ST STE 101
VANCOUVER, WA
ZIP 98662
Phone: (800) 586-4403
Fax: (800) 586-4403



Authorized Official

Authorized Official Name PEG LELAND
Authorized Official TitleOFFICER
Authorized Official Phone(360) 556-0431

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6021720001MEDICARE NSC (07)WA
0225913OTHER (01)WAWA LABOR & INDUSTRIES

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003019142
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003011818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 8 + 1 + 8 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1003019142 is valid because the calculated check digit 2 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
1396907630 DAVID DANOWSKI
Individual
Orthotic Fitter11802 NE 65TH ST STE 101
VANCOUVER, WA 98662
(866) 594-1525

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Probrace, Inc. is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.