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 Ambulatory Health Care Facilities / Multi-Specialty, 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 E via phone (208) 746-1383.

Contact Information

Primary practice address
2315 8Th St Lewiston ID 83501
Phone: (208) 746-1383
Fax: (208) 746-6348
Website:
Map and Directions
Authorized official contact:
Name: Sundberg, Karl E
Phone: (208) 746-1383

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1912458787
LBN Legal business name Catalyst Medical Group, Pllc
DBA Doing business as
Authorized official Sundberg, Karl E
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2016
Last updated Mar 31st, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912458787 NPPES
Washington MEDICAID 1912458787
Washington MEDICAID 1912458787

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