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Organization

SNAKE RIVER MEDICAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA ELLEN MILLER CRT, RPSGT (OWNER)
(208) 735-2252
Entity
Organization

Contact information

Practice address
526 SHOUP AVE W STE B, TWIN FALLS, ID 83301-5050
(208) 735-2252
(208) 735-3917
Mailing address
526 SHOUP AVE W STE B, TWIN FALLS, ID 83301-5050
(208) 735-2252
(208) 735-3917

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
DME249
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807127500
ID
Enumeration date
11/24/2006
Last updated
09/21/2011
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