EAGLE MEDICAL SUPPLY LLC
NPI 1962589093
Durable Medical Equipment & Medical Supplies in Boise, ID

Active since November 01, 2006
11080 EXECUTIVE DR, BOISE, ID 83713(208) 322-0928(208) 322-0931 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eagle Medical Supply Llc NPPES

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

EAGLE MEDICAL SUPPLY LLC (NPI 1962589093) is a healthcare organization registered as a durable medical equipment & medical supplies in Boise, Idaho and active in the NPI registry since November 2006. The organization lists Janet C Breski, Owner, as its authorized official.

NPPES Registry Identity

NPI1962589093
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameEAGLE MEDICAL SUPPLY LLC
Location Address11080 EXECUTIVE DRBoise, ID 83713
Mailing Address11080 Executive DrBoise, ID 83713 · (208) 322-0928 · Fax (208) 322-0931
Fax(208) 322-0931
Organization SubpartNo
Authorized OfficialJanet C BreskiOwner · (208) 322-0928
Enumeration DateNovember 1, 2006
Last NPPES UpdateApril 8, 2008
NPI 1962589093 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.

11080 EXECUTIVE DR, Boise, ID 83713

Other Identifiers 1

Medicare NSC3963900001ID

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962589093, enumerated as an "organization" on November 01, 2006.

The provider is located at 11080 EXECUTIVE DR BOISE, ID 83713 and the phone number is (208) 322-0928.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.