| NPI | 1114957008 |
|---|---|
| Doing Business As | SANDCREEK MEDICAL |
| Entity Type | Organization |
| Authorized Contact | GARY DANIEL RENCH President 208-263-3713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ID DME139) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-12-04 |