Eagle River Organization, Ind

LBN: Eagle River Organization, Ind
Eagle River Organization, Ind is an health care organization with primary practice located at 494 N Meridian St , Blackfoot ID 83221-1627. The organization recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as the primary health care specialty. Eagle River Organization, Ind can be contacted via phone (208) 200-8888, or through Perrenoud, Robert A via phone (208) 200-8888.

Contact Information

Primary practice address
494 N Meridian St Blackfoot ID 83221-1627
Phone: (208) 200-8888
Fax: (208) 785-6170
Website:
Map and Directions
Authorized official contact:
Name: Perrenoud, Robert A
Phone: (208) 200-8888

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1346547098
LBN Legal business name Eagle River Organization, Ind
DBA Doing business as
Authorized official Perrenoud, Robert A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2011
Last updated Feb 16th, 2011 - about 14 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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