Imagine That, LLC

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

NPI 1780916262 · NPPES record last updated Feb 8, 2010

Key facts

NPI
1780916262
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
IMAGINE THAT, LLC
Practice address
1254 Bayview Rd
Athol, ID 83801-9659
Phone
(208) 255-9318
NPI assigned
Feb 8, 2010
Organization subpart
No

Authorized official

Name
Mr. Jeromy M. Scheel, BBA
Title
Owner
Phone
(208) 255-9318

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

1254 Bayview Rd
Athol, ID 83801-9659

Mailing address

1254 Bayview Rd
Athol, ID 83801-9659
Phone (208) 255-9318

Other providers in Athol, ID

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

Sources for this page

Verify at the official NPI Registry.