Advanced Integrated Medical Center
LBN: Advanced Integrated Medical Center
Advanced Integrated Medical Center is an health care organization with primary practice located at 1395 Nw Main St , Blackfoot ID 83221-3936. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Advanced Integrated Medical Center can be contacted via phone (208) 785-0270, or through Stevens, Dee via phone (435) 764-1775.
Contact Information
Primary practice address
1395 Nw Main St
Blackfoot ID 83221-3936
Phone: (208) 785-0270
Fax: (208) 785-0683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1033674916 |
|---|---|
| LBN Legal business name | Advanced Integrated Medical Center |
| DBA Doing business as | |
| Authorized official | Stevens, Dee Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2019 |
| Last updated | Jun 18th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033674916 | NPPES |
| Other | 1962456681 | PERSONAL NPI |
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