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COPPER CREEK MEDICAL, INC.
NPI 1669720454
Durable Medical Equipment & Medical Supplies in Yakima, WA

Active since August 27, 2012
3411 FRUITVALE BLVD, YAKIMA, WA 98902(509) 972-3989(509) 972-4494 Get Directions Write a Review

NPPES record last updated: September 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Copper Creek Medical, Inc. NPPES

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

COPPER CREEK MEDICAL, INC. (NPI 1669720454) is a healthcare organization registered as a durable medical equipment & medical supplies in Yakima, Washington and active in the NPI registry since August 2012. The organization lists Alfred Tall, President, as its authorized official.

NPPES Registry Identity

NPI1669720454
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCOPPER CREEK MEDICAL, INC.
Location Address3411 FRUITVALE BLVDYakima, WA 98902-7320
Mailing Address21222 30th Dr Se, Suite 210Bothell, WA 98021-7019 · (206) 621-1982 · Fax (425) 820-0831
Phone(509) 972-3989
Fax(509) 972-4494
Organization SubpartNo
Authorized OfficialAlfred TallPresident · (509) 998-4309
Enumeration DateAugust 27, 2012
Last NPPES UpdateSeptember 5, 2012
✔ NPI 1669720454 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.
3411 FRUITVALE BLVD, Yakima, WA 98902
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Other Identifiers 1

Medicare NSC6174840001WA

Other Providers at the Same Location NPPES

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

STAT MEDICAL INC
Durable Medical Equipment & Medical Supplies
3411 FRUITVALE BLVD
YAKIMA, WA 98902
Yakima County (509) 972-3989

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 Copper Creek Medical, Inc.'s NPI number?

The NPI number for Copper Creek Medical, Inc. is 1669720454. It was assigned to this organization in the NPPES registry on August 27, 2012.

Where is Copper Creek Medical, Inc. located?

Copper Creek Medical, Inc. is located at 3411 Fruitvale Blvd, Yakima, WA 98902. The listed phone number is (509) 972-3989.

What is Copper Creek Medical, Inc.'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 Copper Creek Medical, Inc. was last updated on September 5, 2012. 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.