Provider Demographics
NPI:1154082675
Name:BASE PRODUCTS, LLC DBA HARKLA
Entity Type:Organization
Organization Name:BASE PRODUCTS, LLC DBA HARKLA
Other - Org Name:HARKLA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-844-2227
Mailing Address - Street 1:1403 S BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83706-3705
Mailing Address - Country:US
Mailing Address - Phone:831-359-5107
Mailing Address - Fax:
Practice Address - Street 1:1403 S BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-3705
Practice Address - Country:US
Practice Address - Phone:831-359-5107
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies