Organization Active NPI

Amador Medical-Idaho

  • Durable Medical Equipment & Medical Supplies
  • Boise, ID
National Provider Identifier
1174934020
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMADOR MEDICAL-IDAHO
Practice address
7456 W State St
Boise, ID 83714-6052
Phone
(702) 830-0869
NPI assigned
May 14, 2014
Last updated
May 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Authorized official

Name
Andrina Vasquez
Title
Manager
Phone
(702) 830-0869

Specialties & licenses 1

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

Addresses

Primary practice location

7456 W State St
Boise, ID 83714-6052

Mailing address

7456 W State St
Boise, ID 83714-6052
Phone (702) 830-0869

National Provider Directory

National Provider Directory

Locations

7456 W State St
Boise, ID 83714
Phone (208) 853-5050

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1174934020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146052",
            "telephone_number": "702-830-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837146052",
            "telephone_number": "702-830-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADOR MEDICAL-IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ANDRINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-830-0869"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.