Boise Endoscopy Center, Llc

LBN: Boise Endoscopy Center, Llc
Boise Endoscopy Center, Llc is an health care organization with primary practice located at 425 W Bannock St , Boise ID 83702-6035. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Boise Endoscopy Center, Llc can be contacted via phone (208) 342-7169, or through Pahssen, Rebecca via phone (208) 489-1431.

Contact Information

Primary practice address
425 W Bannock St Boise ID 83702-6035
Phone: (208) 342-7169
Fax: (208) 368-0863
Website:
Map and Directions
Authorized official contact:
Name: Pahssen, Rebecca
Phone: (208) 489-1431

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 1870273 Idaho

Profile Details

NPI number 1114912102
LBN Legal business name Boise Endoscopy Center, Llc
DBA Doing business as
Authorized official Pahssen, Rebecca
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2005
Last updated Dec 8th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114912102 NPPES
Idaho Other 000010005291 BLUE SHIELD OF IDAHO
Idaho Other 04580 BLUE SHIELD OF IDAHO
Idaho MEDICAID 805944300 BLUE SHIELD OF IDAHO

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