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Contact Information

COPPER CREEK MEDICAL INC
2005 IRONWOOD PKWY
SUITE 130
COEUR D'ALENE, ID83814-2465
 Phone: 208-667-3203
 Fax: 208-667-3110
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for COPPER CREEK MEDICAL INC

NPI # 1295994291
LBN Legal business name COPPER CREEK MEDICAL INC
Authorized official ALFRED TALL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2008
Last updated 04/06/2009 - About 17 years ago
Identifiers
ID License # LRT443
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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