Organization Active NPI

Idaho Medical Products

  • Nursing Facility Supplies (DME)
  • Nampa, ID
National Provider Identifier
1073919643
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility Supplies (DME)Taxonomy code 332BN1400X
Legal business name
IDAHO MEDICAL PRODUCTS
Practice address
2516 Sundance Rd
Nampa, ID 83651-1571
Phone
(208) 440-8967
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terry L HealyNPI 1386048205
Title
Owner
Phone
(208) 440-8967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility Supplies (DME) 332BN1400X Primary

Addresses

Primary practice location

2516 Sundance Rd
Nampa, ID 83651-1571

Mailing address

1713 E Iowa Ave
Nampa, ID 83686-5641
Phone (208) 440-8967

National Provider Directory

National Provider Directory
Tax ID family
Idaho Medical Products2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2516 Sundance Rd
Nampa, ID 83651
Phone (208) 440-8967

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1073919643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 E IOWA AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865641",
            "telephone_number": "208-440-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 SUNDANCE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511571",
            "telephone_number": "208-440-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO MEDICAL PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-440-8967",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.