Organization
ALPINE HOME MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BROADBENT (OWNER)
(801) 590-2703
Entity
Organization
Contact information
Practice address
2425 CHANNING WAY, IDAHO FALLS, ID 83404-8059
(208) 535-8627
(208) 529-3368
Mailing address
132 E 13065 S STE 200, DRAPER, UT 84020-5646
(801) 590-2780
(801) 590-2822
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/02/2013
Last updated
07/01/2016
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