NICKS SERVICE (NPI# 1376743344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376743344 |
| Entity Type | Organization |
| Organization Name | NICKS SERVICE |
| Other Organization Name | NICKS SERVICE |
| Practice Address |
367 W Broadway St Idaho Falls ID 83402-3639 |
| Practice Telephone | 2085235060 |
| Practice Fax Number | 2085247203 |
| Mailing Telephone | 2085235060 |
| Mailing Fax Number | 2085247203 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | MR. ROCKY NICHOLS (MANAGER) |
| Authorized Official Telephone | 2085235060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806670000 | 05 |
| Other Name | Type Code |
|---|---|
| Nicks Service | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Nicks Service & More LLC | 1677 Geneva St, Aurora, CO 80010 |
| Colorado Business Entities | Nicks Services & More LLC | 1677 Geneva St, Aurora, CO 80010 |
| Street Address |
367 W BROADWAY ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558887927 | Foothill Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 6230 S Heritage Ln Ste 5, Idaho Falls, ID 83402-5803 | 2017-08-17 |
| 1730558255 | Excellence In Medicine Inc | Durable Medical Equipment & Medical Supplies | 2960 Cortez Ave, Idaho Falls, ID 83404-7554 | 2015-09-15 |
| 1255779757 | Dvt Solutions LLC | Durable Medical Equipment & Medical Supplies | 1005 Ada Ave, Idaho Falls, ID 83402-2121 | 2013-06-06 |
| 1073956306 | Pt Medical LLC | Durable Medical Equipment & Medical Supplies | 490 Memorial Dr, Idaho Falls, ID 83402-3656 | 2013-04-17 |
| 1447580428 | Full of Life 5580 | Durable Medical Equipment & Medical Supplies | 697 E 1600 N, Idaho Falls, ID 83402-5752 | 2010-01-13 |
| 1093996399 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1604 W Broadway St, Idaho Falls, ID 83402-3048 | 2007-11-15 |
| 1386831964 | Idaho Home Health & Hospice, Inc. | Durable Medical Equipment & Medical Supplies | 1910 Channing Way, Idaho Falls, ID 83404-8030 | 2007-09-27 |
| 1508996885 | Senior Supports, Inc. | Durable Medical Equipment & Medical Supplies | 841 Oxford Dr, Idaho Falls, ID 83401-4204 | 2007-03-06 |
| 1659426617 | Teton Cancer Institute | Durable Medical Equipment & Medical Supplies | 1957 E 17th St, Idaho Falls, ID 83404-6429 | 2007-01-23 |
| 1487711065 | Teton Clinical Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 2470 Jafer Ct., Idaho Falls, ID 83404 | 2007-01-02 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
Please comment or provide details below to improve the information on NICKS SERVICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.