Eagle Medical Supply LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Boise, ID
NPI 1962589093 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1962589093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- EAGLE MEDICAL SUPPLY LLC
- Practice address
- 11080 Executive Dr
Boise, ID 83713 - Phone
- (208) 322-0928
- Fax
- (208) 322-0931
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Janet C Breski
- Title
- Owner
- Phone
- (208) 322-0928
National Provider Directory
Locations
11080 W Executive Dr
Boise, ID 83713
Phone (208) 322-0928
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
11080 Executive Dr
Boise, ID 83713
Mailing address
11080 Executive Dr
Boise, ID 83713
Phone (208) 322-0928
Other providers in Boise, ID
- Joanna Dziewa
- Erin M Eadington
- Matalynn Belle Eager
- Eagle Anesthesia & Oral Surgery PLLC
- Eagle Health and Wellness, Inc
- Eagle'S View Family Medicine, PC
- Kimi Jo Eames
- Bryan James Earl
- James Benjamin Earl
- Kevin Earl
All providers in Boise, 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 Apr 8, 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.