IDAHO SLEEP AND WELLNESS LLC
NPI 1477047926
Durable Medical Equipment & Medical Supplies - Customized Equipment in Meridian, ID
- Organization
- Durable Medical Equipment & Medical Supp...
- Customized Equipment
About IDAHO SLEEP AND WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Idaho Sleep And Wellness Llc, a provider established in Meridian, Idaho operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1477047926 assigned on June 2018. The practitioner's primary taxonomy code is 332BC3200X with license number D-3565 (ID). The provider is registered as an organization and their NPI record was last updated 8 years ago. Idaho Sleep And Wellness Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Matthew L Kooyman Dds (Owner)
- NPI
- 1477047926 Verify this NPI
- Provider Name
- IDAHO SLEEP AND WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 1500 W CAYUSE CREEK DR STE 100 MERIDIAN, ID 83646
- Location Phone
- (208) 899-2384
- Mailing Address
- 1500 W CAYUSE CREEK DR STE 100 MERIDIAN, ID 83646
- Mailing Phone
- (208) 888-9252
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-19-2018
- Last Update Date
- 06-19-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies Customized Equipment
- Taxonomy Code
- 332BC3200X
- Type
- Suppliers
- License No.
- D-3565
- License State
- ID
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | D-3565 (ID) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MERIDIAN, ID 83646
MERIDIAN, ID 83646
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477047926, enumerated as an "organization" on June 19, 2018.
The provider is located at 1500 W CAYUSE CREEK DR STE 100 MERIDIAN, ID 83646 and the phone number is (208) 899-2384.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.