Organization Active NPI

Excellence in Medicine Inc

Doing business as Southeast Idaho Sleep DME

  • Durable Medical Equipment & Medical Supplies
  • Idaho Falls, ID
National Provider Identifier
1730558255
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXCELLENCE IN MEDICINE INC
Doing business as
Southeast Idaho Sleep DME
Practice address
2960 Cortez Ave
Idaho Falls, ID 83404-7554
Phone
(208) 715-9997
Fax
(208) 522-8942
NPI assigned
Sep 15, 2015
Last updated
Sep 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Tabitha Cole
Title
Office Manager
Phone
(208) 715-9997

Specialties & licenses 1

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

Addresses

Primary practice location

2960 Cortez Ave
Idaho Falls, ID 83404-7554

Mailing address

2960 Cortez Ave
Idaho Falls, ID 83404-7554
Phone (208) 715-9997

Other names 1

  • Southeast Idaho Sleep DME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160121000088 ID DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 5294045779 Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

2960 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 680-5144

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1730558255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-715-9997",
            "fax_number": "208-522-8942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-715-9997",
            "fax_number": "208-522-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE IN MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-715-9997"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Idaho Sleep DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.