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Fall River Medical, Pllc
Durable Medical Equipment & Medical Supplies in Rexburg, Idaho
NPI 1457698987

Fall River Medical, Pllc is a Durable Medical Equipment & Medical Supplies based in Rexburg, ID. Fall River Medical, Pllc practices in Rexburg, ID. The NPI Number for Fall River Medical, Pllc is 1457698987 and holds a License No. O-0518 (Idaho).

The current practice location address for Fall River Medical, Pllc is 21 Winn Dr, Rexburg, ID and can be reached out via phone at 208-881-5222 and via fax at 877-441-4715.

Location: 21 Winn Dr, Rexburg, ID, 83440-5277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457698987
Provider Name
Fall River Medical, Pllc
Credential
Provider Entity Type
Organization
Address
21 Winn Dr, Rexburg, ID, 83440-5277
Phone Number
208-881-5222
Fax Number
877-441-4715
Provider Enumeration Date
01/03/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083810287 01 ID NPI
1972709103 01 ID NPI
institution
Provider Business Practice Location Address Details
Address
21 Winn Dr
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-881-5222
Fax Number
877-441-4715
person
Provider Business Mailing Address Details
Address
21 Winn Dr
City
Rexburg
State
Idaho
Zip
83440
Phone Number
208-881-5222
Fax Number
877-441-4715
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
O-0518 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Research
Taxonomy
261QR1100X
License No.
O-0518 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
O-0518 (Idaho)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
O-0518 (Idaho)
Definition
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.
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