Redtail Supply Corporation Dba Amramp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REDTAIL SUPPLY CORPORATION DBA AMRAMP

Practice address

2375 S Cobalt Point Way Ste 102
Meridian, ID 83642-8029

Phone

(208) 371-1258

Fax

(208) 350-7271

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Eric J. Wallentine, MBA, CSA

Title

President

Phone

(208) 371-1258

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1720327265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 S COBALT POINT WAY STE 102",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428029",
            "telephone_number": "208-371-1258",
            "fax_number": "208-350-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 S COBALT POINT WAY STE 102",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428029",
            "telephone_number": "208-371-1258",
            "fax_number": "208-350-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDTAIL SUPPLY CORPORATION DBA AMRAMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "WALLENTINE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-371-1258",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, CSA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Reade, CEP
• Jonathan Reaman, PHARMD
• Recovercare, LLC.
• Red Rock Medical Supply LLC (Red Rock Medical Supply)
• Taylor Redfern
• Madeline Reeb, OTR/L
• Andrew A Reed, DDS
• Bonnie Marie Reed, MD
• Glynn Alan Reed, RRT
• Laura Ann Reed, O.D., CPCP, FAAM

• Durable Medical Equipment & Medical Supplies in Meridian, ID
• Providers in Meridian, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.