Certicine Medical Supply LLC
NPI 1053788703 · Durable Medical Equipment & Medical Supplies · La Grande, OR
Certicine Medical Supply LLC is a Durable Medical Equipment & Medical Supplies organization in La Grande, OR (NPI 1053788703).
Provider details
- NPI number
- 1053788703
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Park Grande Holdings Ltd
- Organization subpart
- Yes
- Authorized official
- Brandon Slavik, Member(949) 285-9796
Specialties & taxonomies
Suppliers
- Oxygen Equipment & Supplies (DME)332BX2000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-08-28
- Last updated
- 2015-08-28
Frequently asked questions
- What is Certicine Medical Supply LLC's NPI number?
- Certicine Medical Supply LLC's National Provider Identifier (NPI) is 1053788703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Certicine Medical Supply LLC?
- Certicine Medical Supply LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Certicine Medical Supply LLC located?
- Certicine Medical Supply LLC's practice location on file with NPPES is 700 Sunset Dr, La Grande, OR 97850-1260.
- What is Certicine Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Certicine Medical Supply LLC is (949) 285-9796.
- Who is the authorized official for Certicine Medical Supply LLC?
- The authorized official listed on Certicine Medical Supply LLC's NPPES record is Brandon Slavik, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Certicine Medical Supply LLC's NPI active?
- Yes — Certicine Medical Supply LLC's NPI (1053788703) is active in the NPPES registry as of the last update on 2015-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.