Organization
CORNERSTONE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN R JORGENSEN (OWNER)
(208) 295-2221
Entity
Organization
Contact information
Practice address
444 HOSPITAL WAY STE 600, POCATELLO, ID 83201-2714
(208) 295-2221
Mailing address
444 HOSPITAL WAY STE 600, POCATELLO, ID 83201-2714
(208) 295-2221
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/31/2025
Last updated
01/12/2026
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