Channing Physical Therapy Pc

LBN: Channing Physical Therapy Pc
Channing Physical Therapy Pc is an health care organization with primary practice located at 2570 Channing Way , Idaho Falls ID 83404-7515. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Channing Physical Therapy Pc can be contacted via phone (208) 529-8005, or through Adams, Meisha via phone (208) 529-8005.

Contact Information

Primary practice address
2570 Channing Way Idaho Falls ID 83404-7515
Phone: (208) 529-8005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adams, Meisha
Phone: (208) 529-8005

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1306064910
LBN Legal business name Channing Physical Therapy Pc
DBA Doing business as
Authorized official Adams, Meisha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2007
Last updated Jun 21st, 2018 - about 7 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 1306064910 NPPES
Idaho MEDICAID 805633700
Idaho Other T-097-3
Idaho Other 39012

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