Organization
ASCEND MEDICAL LLC
Active
Organization
ASCEND MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUS PAPANIKOLAS (OWNER)
(208) 871-5151
Entity
Organization
Contact information
Practice address
7677 W EMERALD ST, BOISE, ID 83704
(208) 321-1800
Mailing address
7677 W EMERALD ST, BOISE, ID 83704-9018
(208) 321-1800
(208) 391-4542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME3776
ID
Other
Enumeration date
02/10/2015
Last updated
06/18/2018
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