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

Active since March 12, 2013
22910 E APPLEWAY AVE STE 3, LIBERTY LAKE, WA 99019(509) 891-2856(509) 891-0125 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Lake Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY LAKE MEDICAL SUPPLY (NPI 1164763405) is a healthcare organization registered as a durable medical equipment & medical supplies in Liberty Lake, Washington and active in the NPI registry since March 2013. The organization lists Christy Lynn Chamberlain, President, as its authorized official.

NPPES Registry Identity

NPI1164763405
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLIBERTY LAKE MEDICAL SUPPLY
Location Address22910 E APPLEWAY AVE STE 3Liberty Lake, WA 99019-8606
Mailing Address22910 E Appleway Ave Ste 3Liberty Lake, WA 99019-8606 · (509) 891-2856
Phone(509) 891-2856
Fax(509) 891-0125
Organization SubpartNo
Authorized OfficialChristy Lynn ChamberlainPresident · (509) 891-2856
Enumeration DateMarch 12, 2013
✔ NPI 1164763405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in WA · 602016543
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's use in the home and that are usable for an extended period of time.
22910 E APPLEWAY AVE STE 3, Liberty Lake, WA 99019
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Other Identifiers 2

Medicare PIN4084490001WA
Medicaid1952522823WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIBERTY LAKE MEDICAL SUPPLY, LLC
Durable Medical Equipment & Medical Supplies
22910 E APPLEWAY AVE STE 3
LIBERTY LAKE, WA 99019
Spokane County (509) 891-2856

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Lake Medical Supply's NPI number?

The NPI number for Liberty Lake Medical Supply is 1164763405. It was assigned to this organization in the NPPES registry on March 12, 2013.

Where is Liberty Lake Medical Supply located?

Liberty Lake Medical Supply is located at 22910 E Appleway Ave Ste 3, Liberty Lake, WA 99019. The listed phone number is (509) 891-2856.

What is Liberty Lake Medical Supply's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Liberty Lake Medical Supply was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.