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LHCG Xvii, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Rupert, ID

NPI 1700107901 · NPPES record last updated Jun 22, 2010

Key facts

NPI
1700107901
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
LHCG XVII, LLC
Practice address
418 Oneida St
Rupert, ID 83350-1748
Phone
(208) 436-5855
Fax
(208) 436-5310
NPI assigned
Jun 22, 2010
Organization subpart
No

Authorized official

Name
Peter C November II
Title
Executive Vice President
Phone
(337) 233-1307

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
Idaho Home Care Supply (5 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

418 Oneida St
Rupert, ID 83350-1748

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names

  • Idaho Home Care Supply Doing business as

Other providers in Rupert, ID

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

Sources for this page

Verify at the official NPI Registry.