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Active NPI 1164006417 Organization (Entity Type 2)

Performance Modalities Inc.

Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies • Enumclaw, WA

About Performance Modalities Inc. NPI 1164006417 Summary

Performance Modalities Inc. is a verified healthcare organization specializing in Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies operating in Enumclaw, WA. Located at 1427 JEFFERSON AVE STE B1, this facility provides patient care and medical services under National Provider Identifier (NPI) 1164006417.

Administrative operations and authorized compliance are overseen by Luana Hall (Director Of Compliance).

Facility Location & Contact Primary Location

Facility Address

1427 Jefferson Ave Ste B1

Enumclaw, WA 980223649

Telephone 8666874463

Fax 8774142727

Authorized Official Information

Authorized Contact Name

Luana Hall , NAC

Title / Role

Director Of Compliance

Official Telephone

2065694601

Facility Classifications & Specialties

Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies Primary Taxonomy

NUCC Taxonomy Code: 332BX2000X

Definition to come...

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

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.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

9 Historical Events

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Updated Practice Location July 17, 2024

Registered at 1427 JEFFERSON AVE STE B1, ENUMCLAW, WA 980223649 (Tel: 8666874463)

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Organization / Clinic Name Updated July 17, 2024

Operating as PERFORMANCE MODALITIES INC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2024

Durable Medical Equipment & Medical Supplies

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NPI Profile Active May 14, 2021

NPI status registered as active in NPPES database

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Updated Practice Location May 14, 2021

Registered at 120 14TH AVE SE STE A, PUYALLUP, WA 983723718 (Tel: 8666874463)

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Updated Business Mailing Address May 14, 2021

Registered at PO BOX 94307, SEATTLE, WA 981246607 (Tel: 2533725530)

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Organization / Clinic Name Updated May 14, 2021

Operating as PERFORMANCE MODALITIES, INC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2021

Durable Medical Equipment & Medical Supplies

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Initial NPI Registration & Enumeration May 11, 2021

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1164006417

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: May 11, 2021

Last Update: July 17, 2024

Update or Correct Listing

Mailing Address

Po Box 94307

Seattle, WA 981246607

Phone: 2533725530

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.