ADVANCED MOBILITY NPI 1134131170

NPI Information

NPI: 1134131170
Provider Name: ADVANCED MOBILITY
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
450 E DAY ST
SUITE F
POCATELLO, ID
ZIP 83201
Phone: (208) 478-6554
Get Directions

ADVANCED MOBILITY is a customized equipment durable medical equipment medical supplies in Pocatello, ID. ADVANCED MOBILITY NPI is 1134131170. The provider is registered as an organization entity type.

The provider's business location address is:

450 E DAY ST
SUITE F
POCATELLO, ID
ZIP 83201-204
Phone: (208) 478-6554
Fax: (208) 478-6551

The provider's authorized official is Colter Dar Kirkham .
The authorized official title is Owner and has the following contact phone number (208) 478-6554.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 6/16/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4538700001	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
2	806280600	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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