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NPI 1861693368

OrganizationActive

4t Medical Supply

NPI 1861693368 · Durable Medical Equipment & Medical Supplies · Rigby, ID

Provider details

NPI number: 1861693368
Entity type: Organization
Primary specialty: Durable Medical Equipment & Medical SuppliesSuppliers
Authorized official: Odila Conica, Owner

Practice location

147 N 4090 E

Rigby, ID 83442-5888

Phone: (208) 745-9497

More ID providers

Mailing address

147 N 4090 E

Rigby, ID 83442-5888

Registry dates

Enumerated: 2007-05-30
Last updated: 2008-06-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

4t Medical Supply — NPI 1861693368, Rigby, ID | NPI Central