Organization
A PLUS HOME MEDICAL, INC.
Active
Other names
Northwest Respiratory and Medical
Organization subpart
No
Provider details
NPI number
Authorized official
AARON M HESS (PRESIDENT)
(208) 882-9746
Entity
Organization
Contact information
Practice address
619 S WASHINGTON ST, SUITE #102, MOSCOW, ID 83843-3063
(208) 882-9746
(208) 882-9741
Mailing address
619 S WASHINGTON ST, SUITE #102, MOSCOW, ID 83843-3063
(208) 882-9746
(208) 882-9741
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
DME127
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010013721
THE REGENCE GROUP
ID
05
—
002632800
—
ID
01
—
1851399158
NATIONAL PROVIDER IDENTIFICATION
ID
01
—
8G296
BLUE CROSS OF IDAHO
ID
01
—
9049628
WA STATE MEDICAID
ID
01
—
9054131
WA STATE MEDICAID
ID
Enumeration date
07/11/2005
Last updated
03/27/2012
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