Boise Ketamine Clinic

LBN: Boise Ketamine Clinic
Boise Ketamine Clinic is an health care organization with primary practice located at 2800 W Overland Rd , Boise ID 83705-3038. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Boise Ketamine Clinic can be contacted via phone (208) 801-1414, or through Bailey, Nykol via phone (208) 801-1414.

Contact Information

Primary practice address
2800 W Overland Rd Boise ID 83705-3038
Phone: (208) 801-1414
Fax: (208) 207-2866
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Nykol Certified Registered Nurse Anesthetist (CRNA)
Phone: (208) 801-1414

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1518547140
LBN Legal business name Boise Ketamine Clinic
DBA Doing business as
Authorized official Bailey, Nykol Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2021
Last updated Apr 8th, 2021 - about 4 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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