Organization
NICKS SERVICE
Active
Organization
NICKS SERVICE
Active
Other names
Nicks Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCKY NICHOLS (MANAGER)
(208) 523-5060
Entity
Organization
Contact information
Practice address
367 W BROADWAY ST, IDAHO FALLS, ID 83402-3639
(208) 523-5060
(208) 524-7203
Mailing address
367 W BROADWAY ST, IDAHO FALLS, ID 83402-3639
(208) 523-5060
(208) 524-7203
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806670000
—
ID
Enumeration date
07/19/2007
Last updated
07/02/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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