Clark Fork Healthcare, Llc

LBN: Clark Fork Healthcare, Llc
Clark Fork Healthcare, Llc is an health care organization with primary practice located at 1675 E Riverside Dr Ste 200 , Eagle ID 83616-7473. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Clark Fork Healthcare, Llc can be contacted via phone (208) 401-1400, or through Johnson, Lee via phone (208) 401-1369.

Contact Information

Primary practice address
1675 E Riverside Dr Ste 200 Eagle ID 83616-7473
Phone: (208) 401-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Lee
Phone: (208) 401-1369

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1457092058
LBN Legal business name Clark Fork Healthcare, Llc
DBA Doing business as
Authorized official Johnson, Lee
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2022
Last updated Apr 6th, 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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