Coralyn Alexander Md Pa

LBN: Coralyn Alexander Md Pa
Coralyn Alexander Md Pa is an health care organization with primary practice located at 488 Blue Lakes Blvd N Ste 102, Twin Falls ID 83301-4800. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Coralyn Alexander Md Pa can be contacted via phone (208) 734-3900, or through Alexander, Coralyn via phone (208) 734-3900.

Contact Information

Primary practice address
488 Blue Lakes Blvd N Ste 102 Twin Falls ID 83301-4800
Phone: (208) 734-3900
Fax: (208) 733-9463
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Coralyn Doctor of Medicine (MD)
Phone: (208) 734-3900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X M6940 Idaho

Profile Details

NPI number 1962556787
LBN Legal business name Coralyn Alexander Md Pa
DBA Doing business as
Authorized official Alexander, Coralyn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 18th, 2010 - about 15 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 1962556787 NPPES
Idaho MEDICAID 808649500

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