Westmed Medical of Idaho, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

WESTMED MEDICAL OF IDAHO, LLC

Practice address

5775 Industry Way
Ste 2
Chubbuck, ID 84321

Phone

(208) 237-6600

Fax

(208) 237-6655

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Jonathan Larsen

Title

Manager

Phone

(435) 792-6014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093800518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 W 700 N",
            "address_2": "STE 110",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "84321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 INDUSTRY WAY",
            "address_2": "STE 2",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "84321",
            "telephone_number": "208-237-6600",
            "fax_number": "208-237-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMED MEDICAL OF IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-792-6014"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Oxygen Equipment & Supplies (DME) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.