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FOOT AND ANKLE CLINIC OF SPOKANE INC NPI 1588029920


NPI Information

NPI: 1588029920
Provider Name: FOOT AND ANKLE CLINIC OF SPOKANE INC

Other Name: JACQUELINE M BABOL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 50D1090215

Address:
302 S 1ST AVE
SANDPOINT, ID
ZIP 83864
Phone: (509) 928-8181
Get Directions

FOOT AND ANKLE CLINIC OF SPOKANE INC is a durable medical equipment medical supplies in Sandpoint, 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. FOOT AND ANKLE CLINIC OF SPOKANE INC NPI is 1588029920. The provider is registered as an organization entity type.
The provider Other Name Is Jacqueline M Babol.

The provider's business location address is:

302 S 1ST AVE
SANDPOINT, ID
ZIP 83864-258
Phone: (509) 928-8181

The provider's authorized official is Jacqueline Babol .
The authorized official title is Owner- Doctor and has the following contact phone number (509) 928-8181.

The CLIA number assigned to this NPI record is 50D1090215 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentP218IDAHONo
2335E00000XProsthetic/Orthotic SupplierP218IDAHONo
3332B00000XDurable Medical Equipment & Medical SuppliesP218IDAHOYes

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
120007263MEDICARE PINIDAHO

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: 4/28/2024

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