Bloom Center For Pediatric Therapy
LBN: Bloom Center For Pediatric Therapy
Bloom Center For Pediatric Therapy is an health care organization with primary practice located at 7677 W Portneuf Rd , Pocatello ID 83204-7336. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty.
Bloom Center For Pediatric Therapy can be contacted via phone (208) 604-6260, or through Lance, Michelle Lee via phone (208) 604-6260.
Contact Information
Primary practice address
7677 W Portneuf Rd
Pocatello ID 83204-7336
Phone: (208) 604-6260
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-2171 | Idaho |
Profile Details
| NPI number | 1215397666 |
|---|---|
| LBN Legal business name | Bloom Center For Pediatric Therapy |
| DBA Doing business as | |
| Authorized official | Lance, Michelle Lee M.S. CCC-SLP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2016 |
| Last updated | Apr 4th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215397666 | NPPES |
| Idaho | Other | 1417261645 | MICHELLE LANCE |
| Idaho | Other | 1578871505 | MICHELLE LANCE |
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