Coralyn J Alexander Md Pa
LBN: Coralyn J Alexander Md Pa
Coralyn J 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 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Coralyn J 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) 734-9441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | NP662 | Idaho |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | M6940 | Idaho |
Profile Details
| NPI number | 1922282821 |
|---|---|
| LBN Legal business name | Coralyn J Alexander Md Pa |
| DBA Doing business as | |
| Authorized official | Alexander, Coralyn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2007 |
| Last updated | Aug 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922282821 | NPPES |
| Idaho | MEDICAID | 804052700 |
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