ID DEPT OF HEALTH & WELFARE CSHP (PKU FORM) is a durable medical equipment medical supplies in Boise, 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. ID DEPT OF HEALTH & WELFARE CSHP (PKU FORM) NPI is 1871716118. The provider is registered as an organization entity type.
The provider's business location address is:
450 W STATE ST
4TH FLOOR
BOISE, ID
ZIP 83702-056
Phone: (208) 334-4935
Fax: (208) 332-7307
The provider's authorized official is Paige Fincher .
The authorized official title is Acting Program Manager and has the following contact phone number (208) 334-4935.
The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.