Eastern Idaho Public Health

LBN: Eastern Idaho Public Health
Eastern Idaho Public Health is an health care organization with primary practice located at 1250 Hollipark Dr , Idaho Falls ID 83401-6217. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Eastern Idaho Public Health can be contacted via phone (208) 522-0310, or through Corbett, William J via phone (208) 522-0310.

Contact Information

Primary practice address
1250 Hollipark Dr Idaho Falls ID 83401-6217
Phone: (208) 522-0310
Fax: (208) 525-7063
Website:
Map and Directions
Authorized official contact:
Name: Corbett, William J
Phone: (208) 522-0310

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1205036001
LBN Legal business name Eastern Idaho Public Health
DBA Doing business as Eastern Idaho Public Health
Authorized official Corbett, William J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2007
Last updated Aug 18th, 2023 - about last year

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 1205036001 NPPES
Idaho MEDICAID 8077552

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