NPI age
20 years
Enumerated 2006-04-05
● Active Type 2 · Organization
West Valley Lifeline Services
West Valley Lifeline Services 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
Myrick
Program Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 23 active durable medical equipment & medical supplies providers in Idaho.
NPI age
20 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1717 Arlington Ave
Caldwell, ID 836054802
Mailing address
1717 Arlington Ave
Caldwell, ID 836054802
Authorized official
Wayne Myrick
Program Manager
📞 2084553754
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Harsh Vardhan Agrawal, MD Internal Medicine NPI 1760663900
- Richard Augustus, MD Family Medicine NPI 1699717793
- Brett Bemis Physician Assistant NPI 1528429172
- Daniel Bonilla, CRNA Nurse Anesthetist, Certified Registered NPI 1386408730
- Derek Bronson Physician Assistant NPI 1962932343
- Gavin Bruderer, CRNA, MSNA Nurse Anesthetist, Certified Registered NPI 1427730910
- David Calley, PHARM D Pharmacist NPI 1578103180
- Caleb Celuch, RN Registered Nurse NPI 1639884935
- Joseph Eastman, M.D. Pathology NPI 1396772273
- Larry Edgerton, CRNA Nurse Anesthetist, Certified Registered NPI 1215082599
- Sarina Folwell, RN Registered Nurse NPI 1609357003
- Brandon Guthrie, PHARMD Pharmacist NPI 1316677180
- Wesley Harding Pharmacy NPI 1508708215
- Travis Henderson, CRNA Nurse Anesthetist, Certified Registered NPI 1093258386
- Holly Hillier, PHARMD Pharmacist NPI 1588519417
- Nathanael Hogg, D.O Internal Medicine NPI 1225420250
- Jaime Holcomb, R.D. L.D. Dietitian, Registered NPI 1932330966
- Nathan Holmes, DO Internal Medicine NPI 1396151148
- Randy James, M.D. Radiology NPI 1447287263
- Rikki Koberlein, RN Registered Nurse NPI 1427871201
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
Practice context
Multi-provider organization. 20 individual providers 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.