Eagle Crest Life Services

LBN: Eagle Crest Life Services
Eagle Crest Life Services is an health care organization with primary practice located at 212 S 11Th St Ste. 3, Coeur D Alene ID 83814-4000. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Eagle Crest Life Services can be contacted via phone (208) 666-9162, or through Wheeler, Robert via phone (208) 666-9162.

Contact Information

Primary practice address
212 S 11Th St Ste. 3 Coeur D Alene ID 83814-4000
Phone: (208) 666-9162
Fax: (208) 769-9321
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Robert Bachelor of Arts (BA)
Phone: (208) 666-9162

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1336355783
LBN Legal business name Eagle Crest Life Services
DBA Doing business as
Authorized official Wheeler, Robert Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Mar 13th, 2009 - 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 1336355783 NPPES
Idaho MEDICAID 8076030

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