NPI 1134350804
Health and Wellness
Practice location
- Address
- 1553 E Center St, Pocatello, ID 83201-4135
- Phone
- (208) 233-9355
- Fax
- (208) 233-9300
Authorised official
- Name
- Zac D Rice
- Title
- Administrator
- Phone
- (208) 233-9355
Registered specialties
Oxygen Equipment & Supplies (DME)
Primary
Registry record
- NPI
- 1134350804
- Entity type
- Organization
- NPI issued
- 29 Jul 2009
- Record last updated
- 29 Jul 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.