A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
taxonomy 332B00000X
Podiatrist
Definition to come...
ID license #P166ID license #P92ID license #P153taxonomy 213ES0103X
Identifiers
Type
Value
Notes
01 (ID)
000010027108
BLUE SHIELD
05 (ID)
805730900
01 (ID)
P00091636
RAILROAD MEDICARE
01 (ID)
03913
BLUE CROSS
05 (ID)
807288200
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Idaho SurgiCenter South
Type code 3recorded 2022-01-31
Idaho SurgiCenter South
Type code 3recorded 2006-05-22
Practice context
Single-site organization. Only one practice location on file.
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