Organization Active NPI

Scott Service

  • Durable Medical Equipment & Medical Supplies
  • Malad City, ID
National Provider Identifier
1669468765
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SCOTT SERVICE
Practice address
4701 W Highway 38
Malad City, ID 83252-6615
Phone
(208) 766-2588
Fax
(208) 766-2588
NPI assigned
Sep 23, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bryan P Scott
Title
General Manager / Partner
Phone
(208) 766-3350

Specialties & licenses 1

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

Addresses

Primary practice location

4701 W Highway 38
Malad City, ID 83252-6615

Mailing address

PO Box 151
Malad City, ID 83252-0151
Phone (208) 766-2588

National Provider Directory

National Provider Directory

Locations

4701 W Highway 38
Malad City, ID 83252
Phone (208) 766-2588

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669468765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832520151",
            "telephone_number": "208-766-2588",
            "fax_number": "208-766-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W HIGHWAY 38",
            "city": "MALAD CITY",
            "state": "ID",
            "postal_code": "832526615",
            "telephone_number": "208-766-2588",
            "fax_number": "208-766-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "GENERAL MANAGER / PARTNER",
        "authorized_official_telephone_number": "208-766-3350"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malad City, ID

Sources for this page

  • 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.