Active NPI
PHG Inc.
Doing business as Maag Medical Supply
- Oxygen Equipment & Supplies (DME)
- Soda Springs, ID
National Provider Identifier
1982743746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- DME141
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73779 | Other | ID | BLUE SHIELD OF IDAHO |
| 8F546 | Other | ID | BLUE CROSS OF IDAHO |
Other names 1
- Maag Medical Supply
National Provider Directory
National Provider DirectoryLocations
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.