Idaho Falls Pulmonary

Organization Active NPI Durable Medical Equipment & Medical Supplies · Idaho Falls, ID

NPI 1699019182 · NPPES record last updated Nov 21, 2012

Key facts

NPI
1699019182
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
IDAHO FALLS PULMONARY
Practice address
2442 E 25TH St
Idaho Falls, ID 83404-7549
Phone
(208) 552-4909
Fax
(208) 522-6101
NPI assigned
Nov 21, 2012
Organization subpart
Yes
Parent organization (as reported)
MOUNTAIN VIEW HOSPITAL

Authorized official

Name
Ned Hillyard
Title
Cco
Phone
(208) 557-2711

Corporate family (same tax ID) 9

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

National Provider Directory

Tax ID family
Idaho Falls Pulmonary (10 organizations share this tax ID)
Part of
Idaho Falls Pulmonary

Specialties & licenses

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

Addresses

Primary practice location

2442 E 25TH St
Idaho Falls, ID 83404-7549

Mailing address

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

Other providers in Idaho Falls, ID

All providers in Idaho Falls, ID · Durable Medical Equipment & Medical Supplies in Idaho

Sources for this page

Verify at the official NPI Registry.