Breakaway, Inc
Customized Equipment
106 E 39th St, Garden City
Idaho, 83714-6440
208-342-4506 208-342-4507
Breakaway, Inc is a Customized Equipment in Garden City, Idaho. It is located at 106 E 39th St, Garden City and it's customer support contact number is 208-342-4506. The authorized person of Breakaway, Inc is Mrs. Carol C Elliott who is Vice-president of this DME and her contact number is 208-342-4506. Active license number of Breakaway, Inc is 047307 for Customized Equipment in Idaho.
Breakaway, Inc is a medical supplier who supplies 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.
DME Supplier Details:
Breakaway, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Breakaway, Inc |
| Type: | Customized Equipment |
| Location: | 106 E 39th St, Garden City,
Idaho, 83714-6440 |
| Phone: | 208-342-4506 |
| Fax: | 208-342-4507 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Carol C Elliott |
| Position: | Vice-president |
| Contact Number: | 208-342-4506 |
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 of given supplier are as mentioned below.
| NPI Number: | 1700055209 |
| NPI Enumeration Date: | 28 Feb, 2008 |
| NPI Last Update On: | 30 Nov, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Breakaway, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 047307 | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8061158 | 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: | Po Box 1593,
Boise, Idaho |
| Zip: | 83701-1593 |
| Phone Number: | 208-342-4506 |
| Fax Number: | 208-342-4507 |
Patients can reach Breakaway, Inc at
106 E 39th St, Garden City, Idaho or can
call on customer care at 208-342-4506.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.