GENESIS SERVICE DOGS INC NPI 1427303494

NPI Information

NPI: 1427303494
Provider Name: GENESIS SERVICE DOGS INC

Former Legal Business Name: GENESIS SERVICE DOGS INC

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
621 W BROADWAY AVE
MERIDIAN, ID
ZIP 83642
Phone: (208) 761-4884
Get Directions

GENESIS SERVICE DOGS INC is a customized equipment durable medical equipment medical supplies in Meridian, ID. GENESIS SERVICE DOGS INC NPI is 1427303494. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Genesis Service Dogs Inc.

The provider's business location address is:

621 W BROADWAY AVE
MERIDIAN, ID
ZIP 83642-404
Phone: (208) 761-4884

The provider's authorized official is Danielle Stem .
The authorized official title is President and has the following contact phone number (208) 761-4884.

The enumeration date for this NPI number is 7/17/2012 and was last updated on 7/17/2012.

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	335E00000X	Prosthetic/Orthotic Supplier				No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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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