4T Medical Supply
Organization Active NPI Durable Medical Equipment & Medical Supplies · Rigby, ID
NPI 1861693368 · NPPES record last updated Jun 13, 2008
Key facts
- NPI
- 1861693368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- 4T MEDICAL SUPPLY
- Practice address
- 147 N 4090 E
Rigby, ID 83442-5888 - Phone
- (208) 745-9497
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Odila Eugenia Conica
- Title
- Owner
- Phone
- (208) 745-9497
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
147 N 4090 E
Rigby, ID 83442-5888
Mailing address
147 N 4090 E
Rigby, ID 83442-5888
Phone (208) 745-9497
Other providers in Rigby, ID
- Cornisa Marie Abeyta-Gaxiola
- William D Adams
- Agape Birth Service and Birth Center
- Boone Allen
- Mary Kaye Ames
All providers in Rigby, ID · Durable Medical Equipment & Medical Supplies in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.