East To West Medicine

LBN: East To West Family Medicine
East To West Medicine is an health care organization with primary practice located at 2051A E Summersweet Dr , Boise ID 83716. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. East To West Family Medicine can be contacted via phone (208) 908-1041, or through Lewis, Kathleen via phone (208) 955-8215.

Contact Information

Primary practice address
2051A E Summersweet Dr Boise ID 83716
Phone: (208) 908-1041
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Kathleen
Phone: (208) 955-8215

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 37185 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NP1522A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP1522A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP1522A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP1522A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP1522A Idaho
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP1522A Idaho

Profile Details

NPI number 1801393616
LBN Legal business name East To West Family Medicine
DBA Doing business as East To West Medicine
Authorized official Lewis, Kathleen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2018
Last updated Jun 16th, 2018 - about 6 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 1801393616 NPPES
Idaho MEDICAID 1265834311

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