Easterseals-Goodwill Northern Rocky Mountain, Inc.

LBN: Easterseals-Goodwill Northern Rocky Mountain, Inc.
Easterseals-Goodwill Northern Rocky Mountain, Inc. is an health care organization with primary practice located at 1607 N Parkcentre Pl , Nampa ID 83651-1705. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Easterseals-Goodwill Northern Rocky Mountain, Inc. can be contacted via phone (208) 461-8470, or through Sherman, Mark via phone (406) 771-3762.

Contact Information

Primary practice address
1607 N Parkcentre Pl Nampa ID 83651-1705
Phone: (208) 461-8470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sherman, Mark
Phone: (406) 771-3762

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1558486951
LBN Legal business name Easterseals-Goodwill Northern Rocky Mountain, Inc.
DBA Doing business as
Authorized official Sherman, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Mar 26th, 2019 - about 5 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 1558486951 NPPES
Idaho MEDICAID 807363600
Idaho MEDICAID 807383100

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