Organization Active NPI

Orbit Medical of Idaho Falls Inc

  • Oxygen Equipment & Supplies (DME)
  • Idaho Falls, ID
National Provider Identifier
1497782759
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
003046109-S Issued in ID
Legal business name
ORBIT MEDICAL OF IDAHO FALLS INC
Practice address
1976 N Woodruff Ave
Idaho Falls, ID 83401-1732
Phone
(208) 523-1760
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Mr. Robert Gallup
Title
Secretary
Phone
(801) 713-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 003046109-S ID Primary

Addresses

Primary practice location

1976 N Woodruff Ave
Idaho Falls, ID 83401-1732

Mailing address

4516 S 700 E
Suite 360
Salt Lake City, UT 84107-8317
Phone (801) 713-2020

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1497782759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 S 700 E",
            "address_2": "SUITE 360",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841078317",
            "telephone_number": "801-713-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 N WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834011732",
            "telephone_number": "208-523-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORBIT MEDICAL OF IDAHO FALLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "GALLUP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-713-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ID",
            "license": "003046109-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.