Liberty Lake Medical Supply, LLC
NPI 1366863789 · Durable Medical Equipment & Medical Supplies · Liberty Lake, WA
Liberty Lake Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies organization in Liberty Lake, WA (NPI 1366863789).
Provider details
- NPI number
- 1366863789
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Matthew Brumwell, Manager/Owner(509) 710-5259
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-01-02
- Last updated
- 2014-01-02
Frequently asked questions
- What is Liberty Lake Medical Supply, LLC's NPI number?
- Liberty Lake Medical Supply, LLC's National Provider Identifier (NPI) is 1366863789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Lake Medical Supply, LLC?
- Liberty Lake Medical Supply, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Liberty Lake Medical Supply, LLC located?
- Liberty Lake Medical Supply, LLC's practice location on file with NPPES is 22910 E Appleway Ave Ste 3, Liberty Lake, WA 99019-8606.
- What is Liberty Lake Medical Supply, LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Lake Medical Supply, LLC is (509) 891-2856.
- Who is the authorized official for Liberty Lake Medical Supply, LLC?
- The authorized official listed on Liberty Lake Medical Supply, LLC's NPPES record is Matthew Brumwell, Manager/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Lake Medical Supply, LLC's NPI active?
- Yes — Liberty Lake Medical Supply, LLC's NPI (1366863789) is active in the NPPES registry as of the last update on 2014-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.