Eastern Idaho Cardiology Associates, Pllc
LBN: Eastern Idaho Cardiology Associates, Pllc
Eastern Idaho Cardiology Associates, Pllc is an health care organization with primary practice located at 2001 S Woodruff Ave Suite 12A, Idaho Falls ID 83404-6374. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty.
Eastern Idaho Cardiology Associates, Pllc can be contacted via phone (208) 524-2255, or through Gorman, Patrick D via phone (208) 524-2255.
Contact Information
Primary practice address
2001 S Woodruff Ave Suite 12A
Idaho Falls ID 83404-6374
Phone: (208) 524-2255
Fax: (208) 524-2256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | Idaho |
Profile Details
| NPI number | 1508866260 |
|---|---|
| LBN Legal business name | Eastern Idaho Cardiology Associates, Pllc |
| DBA Doing business as | |
| Authorized official | Gorman, Patrick D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508866260 | NPPES |
| Idaho | MEDICAID | 805326000 |
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