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Organization
SANDCREEK MEDICAL SALES & RENTALS
Active
Organization
SANDCREEK MEDICAL SALES & RENTALS
Active
Other names
SANDCREEK MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DANIEL RENCH (PRESIDENT)
(208) 263-3713
Entity
Organization
Contact information
Practice address
306 1/2 N 1ST AVE, SANDPOINT, ID 83864-1404
(208) 263-3713
(208) 263-9133
Mailing address
PO BOX 974, SANDPOINT, ID 83864-0853
(208) 263-3713
(208) 263-9133
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
DME139
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002650500
—
ID
Enumeration date
07/04/2006
Last updated
12/04/2012
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