location
search-icon
institution
Breakaway, Inc
Customized Equipment (DME) in Garden City, Idaho
NPI 1700055209

Breakaway, Inc is a Customized Equipment (DME) based in Boise, ID and is specialized in Customized Equipment. Breakaway, Inc practices in Garden City, ID. The NPI Number for Breakaway, Inc is 1700055209 and holds a License No. 047307 (Idaho).

The current practice location address for Breakaway, Inc is 106 E 39Th St, Garden City, ID and can be reached out via phone at 208-342-4506 and via fax at 208-342-4507.

Location: 106 E 39Th St, Garden City, ID, 83701-1593
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700055209
Provider Name
Breakaway, Inc
Credential
Provider Entity Type
Organization
Address
106 E 39Th St, Garden City, ID, 83701-1593
Phone Number
208-342-4506
Fax Number
208-342-4507
Provider Enumeration Date
02/28/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
8061158 05 ID
institution
Provider Business Practice Location Address Details
Address
106 E 39Th St
City
Garden City
State
Idaho
Zip
83714-6440
Phone Number
208-342-4506
Fax Number
208-342-4507
person
Provider Business Mailing Address Details
Address
106 E 39Th St
City
Garden City
State
Idaho
Zip
83714-6440
Phone Number
208-342-4506
Fax Number
208-342-4507
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
047307 (Idaho)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.