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SNAKE RIVER MEDICAL SERVICES INC. NPI 1124193040


NPI Information

NPI: 1124193040
Provider Name: SNAKE RIVER MEDICAL SERVICES, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
526 SHOUP AVE W STE B
TWIN FALLS, ID
ZIP 83301
Phone: (208) 735-2252
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SNAKE RIVER MEDICAL SERVICES, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Twin Falls, ID. SNAKE RIVER MEDICAL SERVICES, INC. NPI is 1124193040. The provider is registered as an organization entity type.

The provider's business location address is:

526 SHOUP AVE W STE B
TWIN FALLS, ID
ZIP 83301-050
Phone: (208) 735-2252
Fax: (208) 735-3917

The provider's authorized official is Carla Ellen Miller .
The authorized official title is Owner and has the following contact phone number (208) 735-2252.

The enumeration date for this NPI number is 11/24/2006 and was last updated on 9/21/2011.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesDME249IDAHOYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15318050001MEDICARE ID-TYPE UNSPECIFIEDIDAHO
2807127500MEDICAIDIDAHO

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: 11/14/2023

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