| NPI | 1427198092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN COLBURN Director Of Business Services 208-799-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2012-05-07 |