Whalio Doctors

NPI 1366517450

Orthomedical, INC

Organisation Durable Medical Equipment & Medical Supplies Blackfoot, ID

Practice location

Address
1053 W Bridge St, Blackfoot, ID 83221-1915
Phone
(208) 785-4595
Fax
(208) 785-4595
Mailing address
PO Box 1127, Blackfoot, ID 83221-1127

Authorised official

Name
Hayley Hall
Title
Owner/President
Phone
(208) 785-4595

Registered specialties

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X Licence DME200 (ID)

Registry record

NPI
1366517450
Entity type
Organization
NPI issued
22 Nov 2006
Record last updated
7 Dec 2021

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.