MALAD MEDICAL SUPPLY LLC (NPI# 1780858175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780858175 |
| Entity Type | Organization |
| Organization Name | MALAD MEDICAL SUPPLY LLC |
| Practice Address |
136 N 70 E Malad City ID 83252-1208 |
| Mailing Address |
Po Box 247 Malad City ID 83252-0247 |
| Practice Telephone | 2084843339 |
| Mailing Telephone | 2084843339 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | MR. RYAN MICHAEL SUMMERS (OWNER) |
| Authorized Official Telephone | 2084843339 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
136 N 70 E |
| City | MALAD CITY |
| State | ID |
| Zip Code | 83252-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003179706 | David Teeples | Family Medicine | 220 Bannock Street, Malad, ID 83252 | 2012-06-19 |
| 1396046835 | A To Z Family Services, Inc. | Social Worker | 44 N Main, Malad, ID 83252 | 2010-11-16 |
| 1942855879 | Tylee Skinner | Behavior Technician | 611 N 500 W, Malad City, ID 83252-1021 | 2019-08-07 |
| 1982738662 | Southeastern Idaho Medical Clinics | Family Medicine | 230 W 200 N, Malad City, ID 83252-1109 | 2007-03-15 |
| 1861934473 | Bcs Healthcare, LLC | Nurse Practitioner | 300 N 100 W, Malad City, ID 83252-1144 | 2016-11-14 |
| 1689005845 | Rosemary Wells | Counselor | 444 N Main St, Malad City, ID 83252-1156 | 2013-12-12 |
| 1730459397 | A To Z Family Services | Clinic/Center | 44 N Main St, Malad City, ID 83252-1200 | 2012-01-12 |
| 1083913164 | Dallas R Spencer | Social Worker | 44 N Main St, Malad City, ID 83252-1200 | 2011-03-15 |
| 1003113390 | Kelly Steven Piersanti | Counselor | 44 N Main St, Malad City, ID 83252-1200 | 2011-02-22 |
| 1346477668 | Ronald Eugene Perry | Chiropractor | 60 N Main St, Malad City, ID 83252-1200 | 2009-06-12 |
| Find all providers in zip 83252 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669468765 | Scott Service | Durable Medical Equipment & Medical Supplies | 4701 W Highway 38, Malad City, ID 83252-6615 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335798 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 Ne 10th Ave Ste P1, Payette, ID 83661-5420 | 2020-01-21 |
| 1710528211 | Live Well Cpap and Medical Supply | Durable Medical Equipment & Medical Supplies | 11513 W Fairview Ave Ste 103, Boise, ID 83713-7887 | 2019-10-05 |
| 1053962712 | Rick Jay Williams | Durable Medical Equipment & Medical Supplies | 4723 Airport Rd, Nampa, ID 83687-9569 | 2019-09-24 |
| 1831741354 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1070 N Curtis Rd Ste 110, Boise, ID 83706-1248 | 2019-07-15 |
| 1215589734 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia Ave Ste 100, Nampa, ID 83686-5688 | 2019-07-15 |
| 1023581055 | Dermaclinical, Inc. | Durable Medical Equipment & Medical Supplies | 7154 W State St Ste 397, Boise, ID 83714-7421 | 2019-01-02 |
| 1467923789 | Amador Medical, LLC | Durable Medical Equipment & Medical Supplies | 963 S Orchard St Ste 203, Boise, ID 83705-1962 | 2018-12-14 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1558840900 | Pure Vita Co. | Durable Medical Equipment & Medical Supplies | 4775 N Sunderland Ln, Boise, ID 83704-2216 | 2018-08-07 |
| 1023503497 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 1818 S 10th Ave Ste 240, Caldwell, ID 83605-4880 | 2018-06-27 |
| Find all providers with the same taxonomy | ||||
| City | MALAD CITY |
| Zip Code | 83252 |
Please comment or provide details below to improve the information on MALAD MEDICAL SUPPLY LLC.
| 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.