1958

LBN: 1958
1958 is an health care organization with primary practice located at 730 E Clark St #4657, Pocatello ID 83205-5401. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. 1958 can be contacted via phone (619) 838-4593, or through Powell, Loraine via phone (619) 838-4593.

Contact Information

Primary practice address
730 E Clark St #4657 Pocatello ID 83205-5401
Phone: (619) 838-4593
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Powell, Loraine
Phone: (619) 838-4593

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 728144 California

Profile Details

NPI number 1013306307
LBN Legal business name 1958
DBA Doing business as
Authorized official Powell, Loraine
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2015
Last updated Jan 9th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers