Rathdrum Drug is a Prosthetic & Orthotic Supplier (Prosthetic & Orthotic Supplier) in Rathdrum, Idaho. It is situated at 16376 N Highway 41, Rathdrum and its contact number is 208-687-0731. The authorized person of Rathdrum Drug is Mr. Ronald D. Lavigne
who is President of the store and his/her contact number is 208-556-1139. Primary license number for Rathdrum Drug is DME431 in Idaho. Rathdrum Drug is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Center Profile:
Rathdrum Drug Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Ronald D. Lavigne
Position:
President
Contact Number:
208-556-1139
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Rathdrum Drug center are as mentioned below.
NPI Number:
1780778233
NPI Enumeration Date:
02 Oct, 2006
NPI Last Update On:
03 Apr, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rathdrum Drug are as mentioned below.
Specialization
License Number
State
Status
DME431
Idaho
Primary
DME431
Idaho
Secondary
CP477
Idaho
Secondary
DME431
Idaho
Secondary
CP477
Idaho
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
002450401
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Rathdrum Drug Po Box 2170, Osburn, Idaho
Zip:
83849-2170
Phone Number:
208-687-0731
Fax Number:
208-687-0990
Patients can reach Rathdrum Drug at 16376 N Highway 41, Rathdrum, Idaho or can call to book an appointment on 208-687-0731. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.