Provider Demographics
NPI: | 1235571746 |
---|---|
Name: | NATIONAL MEDICAL SOLUTIONS INC |
Entity type: | Organization |
Organization Name: | NATIONAL MEDICAL SOLUTIONS INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | SCOTT |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BAILEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 208-377-1881 |
Mailing Address - Street 1: | 8601 W EMERALD ST STE 110 |
Mailing Address - Street 2: | |
Mailing Address - City: | BOISE |
Mailing Address - State: | ID |
Mailing Address - Zip Code: | 83704-4841 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 208-377-1881 |
Mailing Address - Fax: | 208-939-8731 |
Practice Address - Street 1: | 8601 W EMERALD ST STE 110 |
Practice Address - Street 2: | |
Practice Address - City: | BOISE |
Practice Address - State: | ID |
Practice Address - Zip Code: | 83704-4841 |
Practice Address - Country: | US |
Practice Address - Phone: | 208-377-1881 |
Practice Address - Fax: | 208-939-8731 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-07-25 |
Last Update Date: | 2019-06-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
ID | DME20447 | 332B00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |