Advanced Mobility

LBN: Advanced Mobility
Advanced Mobility is an health care organization with primary practice located at 450 E Day St Suite F, Pocatello ID 83201-7204. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Advanced Mobility can be contacted via phone (208) 478-6554, or through Kirkham, Colter Dar via phone (208) 478-6554.

Contact Information

Primary practice address
450 E Day St Suite F Pocatello ID 83201-7204
Phone: (208) 478-6554
Fax: (208) 478-6551
Website:
Map and Directions
Authorized official contact:
Name: Kirkham, Colter Dar
Phone: (208) 478-6554

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1134131170
LBN Legal business name Advanced Mobility
DBA Doing business as
Authorized official Kirkham, Colter Dar
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 16th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134131170 NPPES
Idaho MEDICAID 806280600

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