NPIMap

Organization Active NPI

Karen E Fisher ENT

Doing business as Wood River Home Health Supply

  • Durable Medical Equipment & Medical Supplies
  • Hailey, ID
National Provider Identifier
1194802108
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KAREN E FISHER ENT
Doing business as
Wood River Home Health Supply
Practice address
21 E Maple St
Suite B
Hailey, ID 83333-8401
Phone
(208) 788-4970
Fax
(208) 788-1099
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Ms. Karen E Fisher, RPH
Title
Owner
Phone
(208) 788-4970

Specialties & licenses 1

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

Addresses

Primary practice location

21 E Maple St
Suite B
Hailey, ID 83333-8401

Mailing address

21 E Maple St
Suite B
Hailey, ID 83333-8401
Phone (208) 788-4970

Other identifiers 1

IdentifierTypeStateIssuer
002621300MedicaidID

Other names 1

  • Wood River Home Health Supply Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Karen E Fisher ENT2 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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1194802108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 E MAPLE ST",
            "address_2": "SUITE B",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338401",
            "telephone_number": "208-788-4970",
            "fax_number": "208-788-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E MAPLE ST",
            "address_2": "SUITE B",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338401",
            "telephone_number": "208-788-4970",
            "fax_number": "208-788-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN E FISHER ENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-788-4970",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002621300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood River Home Health Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hailey, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.