SNAKE RIVER MEDICAL SERVICES, INC. (NPI# 1124193040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124193040 |
| Entity Type | Organization |
| Organization Name | SNAKE RIVER MEDICAL SERVICES, INC. |
| Practice Address |
526 Shoup Ave W Ste B Twin Falls ID 83301-5050 |
| Practice Telephone | 2087352252 |
| Practice Fax Number | 2087353917 |
| Mailing Telephone | 2087352252 |
| Mailing Fax Number | 2087353917 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | CARLA ELLEN MILLER (OWNER) |
| Authorized Official Telephone | 2087352252 |
| Authorized Official Credential | CRT, RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
DME249 | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807127500 | 05 |
| Street Address |
526 SHOUP AVE W STE B |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184810921 | Barbara J Jensen Md PC | Internal Medicine | 526 Shoup Ave W Ste B, Twin Falls, ID 83301-5050 | 2007-09-14 |
| 1164575726 | Barbara J Jensen | Internal Medicine | 526 Shoup Ave W Ste B, Twin Falls, ID 83301-5050 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487715199 | Norco, Inc. | Durable Medical Equipment & Medical Supplies | 330 N Haven Dr, Twin Falls, ID 83301-5788 | 2006-12-13 |
| 1255436978 | Idaho Home Health & Hospice, Inc | Durable Medical Equipment & Medical Supplies | 826 Eastland Dr, Twin Falls, ID 83301-6858 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639791734 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 1110 W Park Pl Ste 308, Coeur D Alene, ID 83814-2715 | 2020-05-12 |
| 1619526811 | Red Rock Medical Supply | Durable Medical Equipment & Medical Supplies | 1994 E Franklin Rd Ste 120, Meridian, ID 83642-5975 | 2019-09-10 |
| 1851677827 | The Hospice Store and Supplies | Durable Medical Equipment & Medical Supplies | 134 N 3966 E, Address 2, Rigby, ID 83442-5772 | 2011-10-22 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1639407760 | Cpapnow, Inc. | Durable Medical Equipment & Medical Supplies | 1616 E Plaza Loop, Nampa, ID 83687-4931 | 2009-12-01 |
| 1326375908 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 143 N State St Ste 5, Rigby, ID 83442-4956 | 2009-11-03 |
| 1740410380 | Sun Valley Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 21 E Maple St Ste B, Hailey, ID 83333-4900 | 2009-07-16 |
| 1043448400 | Idaho Home Health & Hospice | Durable Medical Equipment & Medical Supplies | 423 Idaho St, Gooding, ID 83330-1258 | 2009-06-24 |
| 1982844866 | Valley Medical LLC | Durable Medical Equipment & Medical Supplies | 2065 E. Fairview Ave., Meridian, ID 83642-5798 | 2009-03-04 |
| 1982879789 | Frontier Leasing Lmtd Par | Durable Medical Equipment & Medical Supplies | 353 N. 4th Avenue, Ste 205, Pocatello, ID 83201-6392 | 2008-04-23 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.