Axiom Medical, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Eagle, ID
NPI 1316277809 · NPPES record last updated Jan 5, 2010
Key facts
- NPI
- 1316277809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- AXIOM MEDICAL, LLC
- Practice address
- 390 W Colchester Dr
Eagle, ID 83616-5864 - Phone
- (208) 939-8079
- NPI assigned
- Jan 5, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Matthew F Fahy
- Title
- President
- Phone
- (208) 867-9479
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
390 W Colchester Dr
Eagle, ID 83616-5864
Mailing address
390 W Colchester Dr
Eagle, ID 83616-5864
Phone (208) 939-8079
Other providers in Eagle, ID
- Vespera Aragon
- Ashley Manor, LLC
- Ashley Manor, LLC
- Kevin Asplund
- Julie Ann Austin
- Andrea D Axtell
- Marcela Azevedo
- Patricia Babendure
- Shaunna Bach
- Back 2 Work Clinics
All providers in Eagle, 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 Jan 5, 2010. 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.