Complex Care Hosptial Of Idaho

LBN: Boise Intensive Care Hospital Inc
Complex Care Hosptial Of Idaho is an health care organization with primary practice located at 2131 S Bonito Way , Meridian ID 83642-1659. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Hospitals / Long Term Care Hospital. Hospitals / Long Term Care Hospital is the primary health care specialty. Boise Intensive Care Hospital Inc can be contacted via phone (877) 801-2244, or through Cronin, John Michael via phone (469) 241-2128.

Contact Information

Primary practice address
2131 S Bonito Way Meridian ID 83642-1659
Fax: (208) 489-9599
Website:
Authorized official contact:
Name: Cronin, John Michael

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 69 Idaho
Hospitals / Long Term Care Hospital 282E00000X 69 Idaho

Profile Details

NPI number 1427293521
LBN Legal business name Boise Intensive Care Hospital Inc
DBA Doing business as Complex Care Hosptial Of Idaho
Authorized official Cronin, John Michael
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2008
Last updated Jan 7th, 2013 - about 12 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 1427293521 NPPES
Idaho MEDICAID 808282500
Idaho Other 1369006

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