1851399158 NPI number — A PLUS HOME MEDICAL, INC.

Table of content: (NPI 1851399158)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851399158 NPI number — A PLUS HOME MEDICAL, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A PLUS HOME MEDICAL, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851399158
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
619 S WASHINGTON ST
Provider Second Line Business Mailing Address:
SUITE #102
Provider Business Mailing Address City Name:
MOSCOW
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83843-3063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-882-9746
Provider Business Mailing Address Fax Number:
208-882-9741

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
619 S WASHINGTON ST
Provider Second Line Business Practice Location Address:
SUITE #102
Provider Business Practice Location Address City Name:
MOSCOW
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83843-3063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-882-9746
Provider Business Practice Location Address Fax Number:
208-882-9741
Provider Enumeration Date:
07/11/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HESS
Authorized Official First Name:
AARON
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
208-882-9746

Provider Taxonomy Codes

  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X , with the licence number: DME127 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000010013721 . This is a "THE REGENCE GROUP" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: 9049628 . This is a "WA STATE MEDICAID" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: 8G296 . This is a "BLUE CROSS OF IDAHO" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: 002632800 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1851399158 . This is a "NATIONAL PROVIDER IDENTIFICATION" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: 9054131 . This is a "WA STATE MEDICAID" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".




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