Organization Active NPI

PHG Inc.

Doing business as Maag Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Soda Springs, ID
National Provider Identifier
1982743746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
DME141 Issued in ID
Legal business name
PHG INC.
Doing business as
Maag Medical Supply
Practice address
61 E 1St S
Soda Springs, ID 83276-1437
Phone
(208) 547-2697
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Troy Paz
Title
President
Phone
(208) 233-2063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X DME141 ID Primary

Addresses

Primary practice location

61 E 1St S
Soda Springs, ID 83276-1437

Mailing address

PO Box 505
Pocatello, ID 83204-0505
Phone (208) 233-2063

Other identifiers 2

IdentifierTypeStateIssuer
73779OtherIDBLUE SHIELD OF IDAHO
8F546OtherIDBLUE CROSS OF IDAHO

Other names 1

  • Maag Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

61 E 1st S
Soda Springs, ID 83276
Phone (208) 425-6932

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982743746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832040505",
            "telephone_number": "208-233-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 E 1ST S",
            "city": "SODA SPRINGS",
            "state": "ID",
            "postal_code": "832761437",
            "telephone_number": "208-547-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAZ",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-233-2063"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ID",
            "license": "DME141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IDAHO",
            "identifier": "73779",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "8F546",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maag Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soda Springs, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.