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IDAHO ORTHOPAEDICS AND SPORTS CLINIC
NPI 1568549848
Durable Medical Equipment & Medical Supplies in Pocatello, ID

Active since November 01, 2006
560 MEMORIAL DR, POCATELLO, ID 83201(208) 234-1969(208) 233-5033 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Orthopaedics And Sports Clinic NPPES

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

IDAHO ORTHOPAEDICS AND SPORTS CLINIC (NPI 1568549848) is a healthcare organization registered as a durable medical equipment & medical supplies in Pocatello, Idaho and active in the NPI registry since November 2006. The organization lists Ryan Hall, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568549848
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameIDAHO ORTHOPAEDICS AND SPORTS CLINIC
Location Address560 MEMORIAL DRPocatello, ID 83201-4073
Mailing Address560 Memorial DrPocatello, ID 83201-4073 · (208) 234-1969 · Fax (208) 233-5033
Phone(208) 234-1969
Fax(208) 233-5033
Organization SubpartNo
Authorized OfficialRyan HallAdministrator · (208) 234-1960
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 10, 2014
✔ NPI 1568549848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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.
560 MEMORIAL DR, Pocatello, ID 83201
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Other Identifiers 1

Medicare NSC4693980001ID

Other Providers at the Same Location NPPES 12

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

EDWARD T SCHWARZE MPT
Physical Therapist
560 MEMORIAL DR, SUITE C
POCATELLO, ID 83201
Bannock County (208) 233-4648
BMH INC.
Orthopaedic Surgery (Sports Medicine)
560 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-1960
MCKENZIE JEMMETT SLP
Speech-Language Pathologist
560 MEMORIAL DR, STE C
POCATELLO, ID 83201
Bannock County (208) 904-1112
DR. KENNETH E NEWHOUSE MD
Orthopaedic Surgery
560 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-1960
DEREK EDDIE PA-C
Physician Assistant (Medical)
560 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-1960
FRANK TODD DIMICK ATC, LAT, LPTA
Physical Therapy Assistant
560 MEMORIAL DR, SUITE C
POCATELLO, ID 83201
Bannock County (208) 232-4267
IDAHO ORTHOPEDIC & SPORTS CLINIC PA
Clinic/Center (Multi-Specialty)
560 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-1969
STEVEN L NELSON PA-C
Physician Assistant (Surgical)
560 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-1960

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 Idaho Orthopaedics And Sports Clinic's NPI number?

The NPI number for Idaho Orthopaedics And Sports Clinic is 1568549848. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Idaho Orthopaedics And Sports Clinic located?

Idaho Orthopaedics And Sports Clinic is located at 560 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 234-1969.

What is Idaho Orthopaedics And Sports 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 Idaho Orthopaedics And Sports Clinic was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.