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TRAILHEAD MEDICAL GROUP LLC
NPI 1457015422
Durable Medical Equipment & Medical Supplies - Customized Equipment in Meridian, ID

Active since October 26, 2021
2269 E GRAYSON ST, MERIDIAN, ID 83642(208) 841-7020 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Trailhead Medical Group Llc NPPES

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

TRAILHEAD MEDICAL GROUP LLC (NPI 1457015422) is a healthcare organization registered as a customized equipment in Meridian, Idaho and active in the NPI registry since October 2021. The organization lists Chase C Christoffersen, Owner, as its authorized official.

NPPES Registry Identity

NPI1457015422
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameTRAILHEAD MEDICAL GROUP LLC
Location Address2269 E GRAYSON STMeridian, ID 83642-5348
Mailing Address2269 E Grayson StMeridian, ID 83642-5348 · (208) 841-7020
Phone(208) 841-7020
Organization SubpartNo
Authorized OfficialChase C ChristoffersenOwner · (208) 841-7020
Enumeration DateOctober 26, 2021
Last NPPES UpdateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1457015422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
2269 E GRAYSON ST, Meridian, ID 83642
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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 Trailhead Medical Group LLC's NPI number?

The NPI number for Trailhead Medical Group LLC is 1457015422. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is Trailhead Medical Group LLC located?

Trailhead Medical Group LLC is located at 2269 E Grayson St, Meridian, ID 83642. The listed phone number is (208) 841-7020.

What is Trailhead Medical Group LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Trailhead Medical Group LLC was last updated on January 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.