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MCNICHOLAS LLC NPI 1356089973


NPI Information

NPI: 1356089973
Provider Name: MCNICHOLAS, LLC

Doing Business As: VITAL CARE OF BOISE

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
12828 W LASALLE ST STE 101
BOISE, ID
ZIP 83713
Phone: (623) 670-1625
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MCNICHOLAS, LLC is a home infusion in Boise, ID. MCNICHOLAS, LLC NPI is 1356089973. The provider is registered as an organization entity type.
The provider Is Doing Business As Vital Care Of Boise.

The provider's business location address is:

12828 W LASALLE ST STE 101
BOISE, ID
ZIP 83713-517
Phone: (623) 670-1625

The provider's authorized official is James M. Mcnicholas .
The authorized official title is Managing Member and has the following contact phone number (623) 670-1625.

The enumeration date for this NPI number is 5/24/2022 and was last updated on 12/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3333600000XPharmacyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyNo
5251F00000XHome InfusionYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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