Adderson Healthcare of Idaho, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ADDERSON HEALTHCARE OF IDAHO, INC.

Practice address

1167 W Crescent St
Meridian, ID 83642-2620

Phone

(208) 895-0033

Fax

(208) 895-0033

NPI assigned

Sep 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dale Gene Pfeil

Title

President/Ceo

Phone

(208) 895-0033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235231002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 W CRESCENT ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422620",
            "telephone_number": "208-895-0033",
            "fax_number": "208-895-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 W CRESCENT ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422620",
            "telephone_number": "208-895-0033",
            "fax_number": "208-895-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDERSON HEALTHCARE OF IDAHO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PFEIL",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "208-895-0033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd S Adams, DDS
• Elizabeth Joy Papac Adamson
• Toni K Adamson, LPC
• Adapt Therapy LLC
• Add Clinic of Idaho
• Addi (ADD Clinic of Idaho)
• Addus Healthcare, Inc. (Addus HomeCare)
• Manisha Adhikari, PA
• Samuel Adjei, PHARMD
• Deanna Adriano, LPC

• Durable Medical Equipment & Medical Supplies in Meridian, ID
• Providers in Meridian, ID by specialty
• Durable Medical Equipment & Medical Supplies 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.