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LIBERTY LAKE MEDICAL SUPPLY, LLC
NPI 1366863789
Durable Medical Equipment & Medical Supplies in Liberty Lake, WA

Active since January 02, 2014
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: January 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Lake Medical Supply, Llc NPPES

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

LIBERTY LAKE MEDICAL SUPPLY, LLC (NPI 1366863789) is a healthcare organization registered as a durable medical equipment & medical supplies in Liberty Lake, Washington and active in the NPI registry since January 2014. The organization lists Matthew James Brumwell, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1366863789
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLIBERTY LAKE MEDICAL SUPPLY, LLC
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 · Fax (509) 891-0125
Phone(509) 891-2856
Fax(509) 891-0125
Organization SubpartNo
Authorized OfficialMatthew James BrumwellManager/owner · (509) 710-5259
Enumeration DateJanuary 2, 2014
✔ NPI 1366863789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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 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
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, LLC's NPI number?

The NPI number for Liberty Lake Medical Supply, LLC is 1366863789. It was assigned to this organization in the NPPES registry on January 2, 2014.

Where is Liberty Lake Medical Supply, LLC located?

Liberty Lake Medical Supply, LLC 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, LLC'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, LLC was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.