Organization
PREMIER MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG EVAN NORDLIE (PRES.)
(800) 371-8409
Entity
Organization
Contact information
Practice address
2900 N GOVERNMENT WAY, COEUR D ALENE, ID 83815-3751
(800) 371-8409
(800) 372-0016
Mailing address
2900 N GOVERNMENT WAY, COEUR D ALENE, ID 83815-3751
(800) 371-8409
(800) 372-0016
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
ID
Other
Enumeration date
04/23/2007
Last updated
07/21/2022
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