Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Copper Creek Medical Inc

Organization Oxygen Equipment & Supplies (DME) · NPI 1295994291

Copper Creek Medical Inc is an Oxygen Equipment & Supplies (DME) in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2008.

Licensed in
ID
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2005 Ironwood Pkwy Ste 130
Coeur D Alene, ID 83814-2465
Phone: (208) 667-3203
Fax: (208) 667-3110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oxygen Equipment & Supplies (DME) (primary) Taxonomy 332BX2000X · Licence LRT443 (ID)

Record details

NPI number1295994291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alfred Tall — President · (206) 331-1675
NPI enumeratedJune 4, 2008
Last updated in NPPESApril 6, 2009
Mailing address2005 Ironwood Pkwy, 130, Coeur D Alene, ID 83814-2465

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