Southern Idaho Vein Care Center

LBN: Bruce C Mccomas, M. D., P. A.
Southern Idaho Vein Care Center is an health care organization with primary practice located at 775 Pole Line Rd W Suite 212, Twin Falls ID 83301-5814. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Bruce C Mccomas, M. D., P. A. can be contacted via phone (208) 814-8400, or through Mccomas, Bruce C via phone (208) 734-3596.

Contact Information

Primary practice address
775 Pole Line Rd W Suite 212 Twin Falls ID 83301-5814
Phone: (208) 814-8400
Fax: (208) 734-3045
Website:
Map and Directions
Authorized official contact:
Name: Mccomas, Bruce C Doctor of Medicine (MD)
Phone: (208) 734-3596

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M5070 Idaho

Profile Details

NPI number 1407894041
LBN Legal business name Bruce C Mccomas, M. D., P. A.
DBA Doing business as Southern Idaho Vein Care Center
Authorized official Mccomas, Bruce C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Mar 9th, 2013 - about 11 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 1407894041 NPPES
Idaho MEDICAID 000369200
Idaho Other 020048945

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