Add Clinic Of Idaho

LBN: Add Clinic Of Idaho
Add Clinic Of Idaho is an health care organization with primary practice located at 1450 W Ustick Rd Unit 102, Meridian ID 83646. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Add Clinic Of Idaho can be contacted via phone (858) 207-8861, or through Mattingly, Cody D via phone (858) 207-8861.

Contact Information

Primary practice address
1450 W Ustick Rd Unit 102 Meridian ID 83646
Phone: (858) 207-8861
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mattingly, Cody D Physician's Assistant Certified (PA-C)
Phone: (858) 207-8861

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1801567029
LBN Legal business name Add Clinic Of Idaho
DBA Doing business as
Authorized official Mattingly, Cody D Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2021
Last updated Sep 27th, 2021 - about 3 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.

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