Keystone Physical Medicine

LBN: Elevate Health Group Pllc
Keystone Physical Medicine is an health care organization with primary practice located at 420 W Main St #206, Boise ID 83702-7284. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Elevate Health Group Pllc can be contacted via phone (208) 426-9200, or through Sartin, Cory M via phone (208) 426-9200.

Contact Information

Primary practice address
420 W Main St #206 Boise ID 83702-7284
Fax:
Website:
Authorized official contact:
Name: Sartin, Cory M

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X NP-1093A Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X NP-1093A Idaho

Profile Details

NPI number 1770963274
LBN Legal business name Elevate Health Group Pllc
DBA Doing business as Keystone Physical Medicine
Authorized official Sartin, Cory M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2015
Last updated Oct 19th, 2015 - about 9 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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