VISION QUEST MEDICAL CENTER PA NPI 1003873852

NPI Information

VISION QUEST MEDICAL CENTER, PA is a durable medical equipment medical supplies in Boise, ID. The provider is 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. VISION QUEST MEDICAL CENTER, PA NPI is 1003873852. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5680 W GAGE ST
BOISE, ID
ZIP 83706-326
Phone: (208) 377-3937
Fax: (208) 377-9455

The provider's authorized official is Jacob A Mong .
The authorized official title is President and has the following contact phone number (208) 377-3937.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 11/21/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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