PALOUSE FOOT & ANKLE CLINIC NPI 1205011889

NPI Information

  • NPI: 1205011889
  • Provider Name: PALOUSE FOOT & ANKLE CLINIC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 619 S WASHINGTON ST
    103
    MOSCOW, ID
    ZIP 83843
  • Phone: (208) 882-8939

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NPI Details

PALOUSE FOOT & ANKLE CLINIC is a durable medical equipment medical supplies in Moscow, 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. PALOUSE FOOT & ANKLE CLINIC NPI is 1205011889. The provider is registered as an organization entity type.

The provider's business location address is:

619 S WASHINGTON ST
103
MOSCOW, ID
ZIP 83843-090
Phone: (208) 882-8939
Fax: (509) 334-0380

The provider's authorized official is Brad J Capawana .
The authorized official title is Owner and has the following contact phone number (509) 334-4498.

The enumeration date for this NPI number is 1/2/2008 and was last updated on 1/24/2008.

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
1332B00000XDurable Medical Equipment & Medical Supplies1298150002IDAHOYes

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
11298150002MEDICARE NSC
2U65485MEDICARE UPIN

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: 11/21/2025

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