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BREAKAWAY, INC
NPI 1700055209
Durable Medical Equipment & Medical Supplies - Customized Equipment in Garden City, ID

Active since February 28, 2008
106 E 39TH ST, GARDEN CITY, ID 83714(208) 342-4506(208) 342-4507 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breakaway, Inc NPPES

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

BREAKAWAY, INC (NPI 1700055209) is a healthcare organization registered as a customized equipment in Garden City, Idaho and active in the NPI registry since February 2008. The organization lists Carol C Elliott, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1700055209
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameBREAKAWAY, INC
Location Address106 E 39TH STGarden City, ID 83714-6440
Mailing AddressPo Box 1593Boise, ID 83701-1593 · (208) 342-4506 · Fax (208) 342-4507
Phone(208) 342-4506
Fax(208) 342-4507
Organization SubpartNo
Authorized OfficialCarol C ElliottVice-president · (208) 342-4506
Enumeration DateFebruary 28, 2008
Last NPPES UpdateNovember 30, 2011
✔ NPI 1700055209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in ID · 047307
106 E 39TH ST, Garden City, ID 83714
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Other Identifiers 1

Medicaid8061158ID

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 Breakaway, Inc's NPI number?

The NPI number for Breakaway, Inc is 1700055209. It was assigned to this organization in the NPPES registry on February 28, 2008.

Where is Breakaway, Inc located?

Breakaway, Inc is located at 106 E 39th St, Garden City, ID 83714. The listed phone number is (208) 342-4506.

What is Breakaway, Inc'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 Breakaway, Inc was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.