Marimn Health

LBN: Benewah Medical Center
Marimn Health is an health care organization with primary practice located at 427 N 12Th St , Plummer ID 83851. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Benewah Medical Center can be contacted via phone (208) 686-1931, or through Bergland, Paul Leroy via phone (208) 686-5162.

Contact Information

Primary practice address
427 N 12Th St Plummer ID 83851
Phone: (208) 686-1931
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bergland, Paul Leroy
Phone: (208) 686-5162

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 131814 Idaho

Profile Details

NPI number 1336135136
LBN Legal business name Benewah Medical Center
DBA Doing business as Marimn Health
Authorized official Bergland, Paul Leroy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Mar 29th, 2018 - about 8 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 1336135136 NPPES
Idaho MEDICAID 0026771
Idaho MEDICAID 805801300
Idaho MEDICAID 804166900

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