Eagle Rock Anesthesia Pllc

LBN: Eagle Rock Anesthesia Pllc
Eagle Rock Anesthesia Pllc is an health care organization with primary practice located at 2325 Coronado St , Idaho Falls ID 83404-7407. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Eagle Rock Anesthesia Pllc can be contacted via phone (208) 557-2700, or through Nelson, Scott C via phone (208) 557-2700.

Contact Information

Primary practice address
2325 Coronado St Idaho Falls ID 83404-7407
Phone: (208) 557-2700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Scott C Doctor of Medicine (MD)
Phone: (208) 557-2700

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1174602684
LBN Legal business name Eagle Rock Anesthesia Pllc
DBA Doing business as
Authorized official Nelson, Scott C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated Mar 7th, 2008 - about 16 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 1174602684 NPPES
Other CK8249 RAILROAD MEDICARE

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