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EASTERN IDAHO FOOT CLINIC
NPI 1225365992
Durable Medical Equipment & Medical Supplies in Idaho Falls, ID

Active since November 17, 2009
2565 CHANNING WAY, IDAHO FALLS, ID 83404(208) 523-2928(208) 523-2962 Get Directions Write a Review

NPPES record last updated: November 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Idaho Foot Clinic NPPES

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

EASTERN IDAHO FOOT CLINIC (NPI 1225365992) is a healthcare organization registered as a durable medical equipment & medical supplies in Idaho Falls, Idaho and active in the NPI registry since November 2009. The organization lists Jerry D. Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1225365992
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameEASTERN IDAHO FOOT CLINIC
Location Address2565 CHANNING WAYIdaho Falls, ID 83404-7516
Mailing Address2565 Channing WayIdaho Falls, ID 83404-7516 · (208) 523-2928 · Fax (208) 523-2962
Phone(208) 523-2928
Fax(208) 523-2962
Organization SubpartNo
Authorized OfficialJerry D. CooperOwner · (208) 523-2928
Enumeration DateNovember 17, 2009
✔ NPI 1225365992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in ID · P126
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.
2565 CHANNING WAY, Idaho Falls, ID 83404
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Other Identifiers 2

Medicaid001393600ID
Medicare UPINT44264ID

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERRY D COOPER D.P.M.
Podiatrist
2565 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 523-2928

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 Eastern Idaho Foot Clinic's NPI number?

The NPI number for Eastern Idaho Foot Clinic is 1225365992. It was assigned to this organization in the NPPES registry on November 17, 2009.

Where is Eastern Idaho Foot Clinic located?

Eastern Idaho Foot Clinic is located at 2565 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 523-2928.

What is Eastern Idaho Foot Clinic's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Eastern Idaho Foot Clinic was last updated on November 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.