Provider Demographics
NPI:1538587290
Name:HEALTH1LOGISTICS
Entity type:Organization
Organization Name:HEALTH1LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAWHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-409-3279
Mailing Address - Street 1:2949 E COPPER POINT DR
Mailing Address - Street 2:SUITE 125
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-5016
Mailing Address - Country:US
Mailing Address - Phone:208-888-1230
Mailing Address - Fax:
Practice Address - Street 1:2949 E COPPER POINT DR
Practice Address - Street 2:SUITE 125
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-5016
Practice Address - Country:US
Practice Address - Phone:208-888-1230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies