OrganizationActive
Foothill Medical Supply, LLC
NPI 1558887927 · Durable Medical Equipment & Medical Supplies · Provo, UT
Provider details
- NPI number
- 1558887927
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Wayne Reaves, Chief Financial Officer(801) 492-2704
- License
- 10186558-1714 (UT)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
723 N 1890 W Ste 38a
Provo, UT 84601-1333
Phone: (877) 464-5846
Fax: (877) 492-2716
Street-level locationGet directions
Mailing address
723 N 1890 W Ste 38a
Provo, UT 84601-1333
Additional practice locations (1)
- 6230 S Heritage Ln Ste 5Idaho Falls, ID 83402-5803Phone: (208) 529-6690Fax: (877) 492-2716
Registry dates
- Enumerated
- 2017-08-17
- Last updated
- 2021-10-29
- Certified
- 2021-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.