Westmed Medical of Idaho, LLC

NPI #1093800518 in Chubbuck, Idaho

Provider Information

NPI Number: 1093800518
Entity Type: Organization
Organization Name: Westmed Medical of Idaho, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5775 INDUSTRY WAY
Address 2: STE 2
City: Chubbuck
State: Idaho
ZIP Code: 84321
Phone: (208) 237-6600

Authorized Official

Name: JONATHAN LARSEN
Title: MANAGER
Phone: (435) 792-6014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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