Catalyst Medical Group, Pllc

LBN: Catalyst Medical Group, Pllc
Catalyst Medical Group, Pllc is an health care organization with primary practice located at 2315 8Th St , Lewiston ID 83501. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Catalyst Medical Group, Pllc can be contacted via phone (208) 746-1383, or through Sundberg, Karl via phone (208) 746-1383.

Contact Information

Primary practice address
2315 8Th St Lewiston ID 83501
Fax: (208) 746-6348
Website:
Authorized official contact:
Name: Sundberg, Karl

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X BL17-000004 Idaho

Profile Details

NPI number 1871033266
LBN Legal business name Catalyst Medical Group, Pllc
DBA Doing business as
Authorized official Sundberg, Karl
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2017
Last updated Mar 31st, 2023 - about 2 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 1871033266 NPPES
Idaho MEDICAID 1912458787

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