NPI age
17 years
Enumerated 2008-06-04
● Active Type 2 · Organization
Copper Creek Medical Inc
Copper Creek Medical Inc is 1 of 34 durable medical equipment & medical supplies organizations in Idaho.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tall
President
Last NPPES update
2009-04-06
Source: monthly bulk 2026-05
How this organization compares
Across 34 active durable medical equipment & medical supplies providers in Idaho.
NPI age
17 years
≈ at median (17 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2005 Ironwood Pkwy, Suite 130
Coeur D Alene, ID 838142465
Mailing address
2005 Ironwood Pkwy, 130
Coeur D Alene, ID 838142465
Authorized official
Alfred A Tall, RRT, RPSGT
President
📞 2063311675
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Cathleen Gephart, PT, OCS Physical Therapist NPI 1235296849
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.