Organization · Type 2 NPI

Performance Modalities Inc

Durable Medical Equipment & Medical Supplies · Coeur D Alene, ID

NPI number 1639791734 Active

Practice location

1110 W Park Pl Ste 308
Coeur D Alene, ID 83814-2715

Call (866) 687-4463 Map

Fax (877) 414-2727

Mailing address

PO Box 94307
Seattle, WA 98124-6607

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed
Oxygen Equipment & Supplies (DME)	332BX2000X	None listed

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.

Other durable medical equipment & medical supplies providers in Coeur D Alene

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NPI record

NPI: 1639791734
Entity type: Organization (Type 2)
Issued: May 12, 2020
Last updated: Jul 17, 2024
Status: Active

Other names

<unavail>
Performance Home Medical · doing business as
Performance Home Medical · doing business as

Authorized official

Luana Michele Hall
Director of Compliance
(206) 569-4601

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639791734

Performance Modalities Inc's National Provider Identifier is 1639791734, issued on May 12, 2020. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 17, 2024.