Organization Active NPI

Peace of Mind Medical Supply Co LLC

  • Durable Medical Equipment & Medical Supplies
  • Nampa, ID
National Provider Identifier
1134323306
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEACE OF MIND MEDICAL SUPPLY CO LLC
Practice address
7112 E Canterbury LN
Nampa, ID 83687-9432
Phone
(800) 743-3179
Fax
(800) 367-6163
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Nikol H McKean
Title
Member
Phone
(800) 743-3179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7112 E Canterbury LN
Nampa, ID 83687-9432

Mailing address

7112 E Canterbury LN
Nampa, ID 83687-9432
Phone (800) 734-3179

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1134323306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7112 E CANTERBURY LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879432",
            "telephone_number": "800-734-3179",
            "fax_number": "800-367-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7112 E CANTERBURY LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879432",
            "telephone_number": "800-743-3179",
            "fax_number": "800-367-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND MEDICAL SUPPLY CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "MCKEAN",
        "authorized_official_first_name": "NIKOL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "800-743-3179"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical 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 Dec 2, 2015; 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.