Id Dept of Health & Welfare Cshp (Pku Form)
Id Dept of Health & Welfare Cshp (Pku Form) is a Durable Medical Equipment & Medical Supplies in Boise, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
450 W State St 4th FlBoise, ID 83702-6056
Phone: (208) 334-4935
Fax: (208) 332-7307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1871716118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Paige Fincher — Acting Program Manager · (208) 334-4935 |
| NPI enumerated | April 11, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 83720, 4th Floor, Boise, ID 83720-0036 |
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