NPI 1578807996

Teton Cancer Institute

Organisation Durable Medical Equipment & Medical Supplies Rexburg, ID

Practice location

Address: 380 Walker Dr, Rexburg, ID 83440-1657
Phone: (208) 356-9559
Fax: (208) 356-6601
Mailing address: 2325 Coronado St, Idaho Falls, ID 83404-7407

Authorised official

Name: Ned Hillyard
Title: Cco
Phone: (208) 557-2711

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Registry record

NPI: 1578807996
Entity type: Organization
NPI issued: 26 Nov 2012
Record last updated: 4 Feb 2014

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.