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Idaho Sports Bracing INC

Durable Medical Equipment & Medical Supplies in Meridian, ID. Organization (NPI-2).

NPI number1801023643
StatusActive
Last updated in NPPESJun 19, 2009

Details

NPI
1801023643
Entity type
Organization (NPI-2)
Legal business name
Idaho Sports Bracing INC
Organization subpart
No
Enumeration date
Jun 19, 2009
Last updated
Jun 19, 2009

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

711 N Ralstin St
Meridian, ID 83642-4079

Phone 208-887-9071 · Fax 208-887-9235

Mailing address

Po Box 625
Meridian, ID 83680-0625

Phone 208-887-9071 · Fax 208-887-9235

Authorized official

Dannette M Peterson
Secretary Treasurer
2088879071

Is something wrong?

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Other Durable Medical Equipment & Medical Supplies providers in Meridian, ID

All 29 Durable Medical Equipment & Medical Supplies providers in Meridian · All 4,112 providers in Meridian

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