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SNAKE RIVER EAR, NOSE & THROAT PC
NPI 1104912740
Specialist in Twin Falls, ID

Active since October 04, 2006
706 NORTH COLLEGE ROAD, SUITE C, TWIN FALLS, ID 83301(208) 735-1000(208) 732-5345 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Snake River Ear, Nose & Throat Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SNAKE RIVER EAR, NOSE & THROAT PC (NPI 1104912740) is a healthcare organization registered as a specialist in Twin Falls, Idaho and active in the NPI registry since October 2006. The organization lists Rod Kack, Owner, as its authorized official.

NPPES Registry Identity

NPI1104912740
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSNAKE RIVER EAR, NOSE & THROAT PC
Location Address706 NORTH COLLEGE ROAD, SUITE CTwin Falls, ID 83301
Mailing Address706 North College Road, Suite CTwin Falls, ID 83301 · (208) 735-1000 · Fax (208) 732-5345
Phone(208) 735-1000
Fax(208) 732-5345
Organization SubpartNo
Authorized OfficialRod KackOwner · (208) 735-1000
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 15, 2013
✔ NPI 1104912740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · A89785
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
706 NORTH COLLEGE ROAD, Twin Falls, ID 83301
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Other Identifiers 4

Medicare UPINA51210ID
Medicaid805168100ID
Medicare UPINA89785ID
Medicare PIN1377791ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Snake River Medical Services Inc carries, from the Medicare DMEPOS supplier directory.

Snake River Medical Services Inc

DMEPOS supplier · Twin Falls, ID
⋮

Does not accept Medicare assignment

Snake River Medical Services Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20586461
Medicare Participant SinceNovember 22, 2004
Supplier Location452 Cheney Drive W Suite 170Twin Falls, ID 83301
Phone(208) 735-2252
Provider TypeOxygen & Equipment
Supplier Specialties
MSC With Respiratory Therapist

Medicare Product Categories

Continuous Positive Airway Pressure (CPAP) Devices
CPAP machines, Compressor systems, Humidifiers, Masks
Oxygen Equipment and/or Supplies
Portable oxygen systems, Oxygen concentrators, Oxygen contents
Respiratory Assist Devices
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Snake River Ear, Nose & Throat PC's NPI number?

The NPI number for Snake River Ear, Nose & Throat PC is 1104912740. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Snake River Ear, Nose & Throat PC located?

Snake River Ear, Nose & Throat PC is located at 706 North College Road Suite C, Twin Falls, ID 83301. The listed phone number is (208) 735-1000.

What is Snake River Ear, Nose & Throat PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Snake River Ear, Nose & Throat PC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Snake River Medical Services Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Snake River Ear, Nose & Throat PC was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.