Essential Life Boise

LBN: Essential Life Boise
Essential Life Boise is an health care organization with primary practice located at 13125 W Persimmon Ln Ste 100, Boise ID 83713-2086. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Essential Life Boise can be contacted via phone (208) 991-0352, or through Fedewa, Yvonne via phone (208) 991-0352.

Contact Information

Primary practice address
13125 W Persimmon Ln Ste 100 Boise ID 83713-2086
Phone: (208) 991-0352
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fedewa, Yvonne
Phone: (208) 991-0352

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X CHIA1466 Idaho

Profile Details

NPI number 1841550126
LBN Legal business name Essential Life Boise
DBA Doing business as
Authorized official Fedewa, Yvonne
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2012
Last updated Aug 27th, 2012 - about 12 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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