NPI age
18 years
Enumerated 2008-02-28
● Active Type 2 · Organization
Breakaway, Inc
Breakaway, Inc is 1 of 23 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
Elliott
Vice-President
Last NPPES update
2011-11-30
Source: monthly bulk 2026-05
How this organization compares
Across 23 active durable medical equipment & medical supplies providers in Idaho.
NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
106 E 39th St
Garden City, ID 837146440
Mailing address
Po Box 1593
Boise, ID 837011593
Authorized official
Carol C Elliott
Vice-President
📞 2083424506
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8061158 |
Practice context
Single-site organization. Only one practice location on file.
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- 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.