NPIMap

Organization Active NPI

University of Idaho

  • Durable Medical Equipment & Medical Supplies
  • Moscow, ID
National Provider Identifier
1407976798
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNIVERSITY OF IDAHO
Practice address
129 West Third St.
Moscow, ID 83843-0000
Phone
(208) 885-3771
Fax
(208) 885-3628
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Susan P House
Title
Information Specialist
Phone
(208) 885-3771

Specialties & licenses 1

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

Addresses

Primary practice location

129 West Third St.
Moscow, ID 83843-0000

Mailing address

129 West Third St.
Moscow, ID 83843-0000
Phone (208) 885-3771

Other identifiers 1

IdentifierTypeStateIssuer
8057830MedicaidID

Other names 1

  • CDHD/Idaho Assistive Technology Project Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CDHD Behavioral Consultants4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1407976798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WEST THIRD ST.",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430000",
            "telephone_number": "208-885-3771",
            "fax_number": "208-885-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WEST THIRD ST.",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430000",
            "telephone_number": "208-885-3771",
            "fax_number": "208-885-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "INFORMATION SPECIALIST",
        "authorized_official_telephone_number": "208-885-3771",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "8057830",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDHD/Idaho Assistive Technology Project",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.