Organization
MED AIR, INC.
Active
Organization
MED AIR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY GILBERTSON (OWNER)
(208) 459-2987
Entity
Organization
Contact information
Practice address
512 N 16TH AVE, CALDWELL, ID 83605-3431
(208) 453-2987
(208) 459-1069
Mailing address
512 N 16TH AVE, CALDWELL, ID 83605-3431
(208) 453-2987
(208) 459-1069
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
107848448
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010028879
BLUE SHIELD
ID
05
—
807262700
—
ID
01
—
8D772
BLUE CROSS
ID
Enumeration date
10/10/2006
Last updated
08/04/2009
Update your record
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