Core Medicine Of Idaho
LBN: Core Medicine Idaho, Llc
Core Medicine Of Idaho is an health care organization with primary practice located at 4605 Enterprise Way Ste 101, Caldwell ID 83605-8360. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Core Medicine Idaho, Llc can be contacted via phone (208) 353-7518, or through Rath, Sophie via phone (208) 795-5090.
Contact Information
Primary practice address
4605 Enterprise Way Ste 101
Caldwell ID 83605-8360
Phone: (208) 353-7518
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1043927882 |
|---|---|
| LBN Legal business name | Core Medicine Idaho, Llc |
| DBA Doing business as | Core Medicine Of Idaho |
| Authorized official | Rath, Sophie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2022 |
| Last updated | Jan 16th, 2024 - about 8 months 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 | 1043927882 | NPPES |
| Idaho | MEDICAID | 1295734796 |
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