Burn And Reconstructive Centers Of Idaho, Pllc

LBN: Burn And Reconstructive Centers Of Idaho, Pllc
Burn And Reconstructive Centers Of Idaho, Pllc is an health care organization with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Burn And Reconstructive Centers Of Idaho, Pllc can be contacted via phone (706) 863-9595, or through Fagan, Shawn via phone (706) 863-9595.

Contact Information

Primary practice address
3100 Channing Way Idaho Falls ID 83404-7533
Phone: (706) 863-9595
Fax: (706) 868-8375
Website:
Map and Directions
Authorized official contact:
Name: Fagan, Shawn
Phone: (706) 863-9595

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1902360639
LBN Legal business name Burn And Reconstructive Centers Of Idaho, Pllc
DBA Doing business as
Authorized official Fagan, Shawn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2019
Last updated Oct 11th, 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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