Breakaway, Inc in Boise - Customized Equipment
Breakaway, Inc - NPI 1700055209
Breakaway, Inc is a Customized Equipment in Boise, Idaho. Breakaway, Inc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Breakaway, Inc is 1700055209. The last update date is 2011-11-30.
Breakaway, Inc's current location address is Po Box 1593, Boise, Idaho. You can contact this provider via phone number 2083424506 and fax number 2083424507. The mailing address for Breakaway, Inc is Po Box 1593, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Breakaway, Inc |
|---|---|
| Address | Po Box 1593, Boise, Idaho |
| Phone Number | 2083424506 |
| Fax Number | 2083424507 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE-PRESI |
|---|---|
| Authorized Official Name | Elliott C Carol |
| Telephone Number | 2083424506 |
NPI Number Detail
| NPI Number | 1700055209 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | Po Box 1593 |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837011593 |
| Phone Number | 2083424506 |
| Fax Number | 2083424507 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | 47307 |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8061158 | ID | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Breakaway, Inc by the Centers for Medicare & Medicaid Services?
The Breakaway, Inc has been issued the NPI (National Provider Identifier) 1700055209. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Breakaway, Inc's facilities are situated?
The facilities of Breakaway, Inc are physically located at the following address: Po Box 1593, Boise, ID, 837011593.
What is the Breakaway, Inc's area of specialization and corresponding taxonomy classification?
The Breakaway, Inc's specialty field is Customized Equipment, and it falls under the taxonomy code 332Bc3200X, which categorizes healthcare providers based on their specialties.
On what date was the 1700055209 assigned to Breakaway, Inc?
The Breakaway, Inc was issued its 1700055209 on 2008-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Breakaway, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Breakaway, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-30.
NPI Number: 1730182858
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