Pocatello Children'S Clinic
Durable Medical Equipment & Medical Supplies in Pocatello, ID. Organization (NPI-2).
NPI number1023287828
StatusActive
Last updated in NPPESFeb 26, 2008
Details
- NPI
- 1023287828
- Entity type
- Organization (NPI-2)
- Legal business name
- Pocatello Children'S Clinic
- Organization subpart
- No
- Enumeration date
- Feb 26, 2008
- Last updated
- Feb 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | ID | Yes |
Practice location
500 S 11th AveSte 204
Pocatello, ID 83201-4835
Phone 208-232-1443 · Fax 208-239-3434
Mailing address
Po Box 4730Pocatello, ID 83205-4730
Phone 208-232-1443 · Fax 208-239-3434
Authorized official
Jessica Perry
Administrator
2082369600
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All 15 Durable Medical Equipment & Medical Supplies providers in Pocatello · All 2,770 providers in Pocatello
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