Idaho State Veterans Home - Lewiston
LBN: Division Of Veterans Services
Idaho State Veterans Home - Lewiston is an health care organization with primary practice located at 821 21St Ave , Lewiston ID 83501-6389. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Division Of Veterans Services can be contacted via phone (208) 799-3422, or through Brasuell, David via phone (208) 334-3513.
Contact Information
Primary practice address
821 21St Ave
Lewiston ID 83501-6389
Phone: (208) 799-3422
Fax: (208) 799-3414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 91 | Idaho |
Profile Details
| NPI number | 1679562011 |
|---|---|
| LBN Legal business name | Division Of Veterans Services |
| DBA Doing business as | Idaho State Veterans Home - Lewiston |
| Authorized official | Brasuell, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1679562011 | NPPES |
| Idaho | Other | 1042HP | PHARMACY LICENSE |
| Idaho | MEDICAID | 805788200 | PHARMACY LICENSE |
| Idaho | MEDICAID | 805741800 | PHARMACY LICENSE |
| Idaho | Other | 1307102 | PHARMACY LICENSE |
| Idaho | Other | 91 | PHARMACY LICENSE |
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