Borron Family Medicine Pllc
LBN: Borron Family Medicine Pllc
Borron Family Medicine Pllc is an health care organization with primary practice located at 790 W Ustick Rd Ste 110, Meridian ID 83646-5558. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Borron Family Medicine Pllc can be contacted via phone (208) 639-3990, or through Borron, Brookney Raeanne via phone (208) 866-1428.
Contact Information
Primary practice address
790 W Ustick Rd Ste 110
Meridian ID 83646-5558
Phone: (208) 639-3990
Fax: (208) 639-3992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-923A | Idaho |
Profile Details
| NPI number | 1033424429 |
|---|---|
| LBN Legal business name | Borron Family Medicine Pllc |
| DBA Doing business as | |
| Authorized official | Borron, Brookney Raeanne MSN, FNP-C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2010 |
| Last updated | Feb 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033424429 | NPPES |
| Idaho | MEDICAID | 1033424429 |
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