Cedar Mountain Medical Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Post Falls, ID
NPI 1295748457 · NPPES record last updated Sep 16, 2008
Key facts
- NPI
- 1295748457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CEDAR MOUNTAIN MEDICAL INC.
- Practice address
- 503 E Seltice Way Ste 8
Post Falls, ID 83854-6499 - Phone
- (208) 777-9199
- Fax
- (208) 777-8580
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Thomas Paul Johnson
- Title
- President
- Phone
- (208) 777-9199
National Provider Directory
Locations
503 E Seltice Way
Ste 8
Post Falls, ID 83854
Phone (208) 777-9199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
503 E Seltice Way Ste 8
Post Falls, ID 83854-6499
Mailing address
PO Box 3250
Post Falls, ID 83877-3250
Phone (208) 777-9199
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806797600 | Medicaid | ID | |
| 0144814 | Other | WA | WA DEPT OF LABOR |
| 000010014605 | Other | ID | BLUE SHIELD OF ID |
| 001274700 | Medicaid | ID | |
| 9048430 | Medicaid | WA | |
| 03566 | Other | ID | BLUE CROSS OF IDAHO, GA, |
Other providers in Post Falls, ID
- Christina Carroll
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- Karen L. Chase
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All providers in Post Falls, ID · Durable Medical Equipment & Medical Supplies in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.