Evening Medical Clinic

LBN: Evening Medical Clinic
Evening Medical Clinic is an health care organization with primary practice located at 1252 Bennett Ave Suite B, Burley ID 83318. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Evening Medical Clinic can be contacted via phone (208) 878-3486, or through Klett, Michael P via phone (208) 878-5255.

Contact Information

Primary practice address
1252 Bennett Ave Suite B Burley ID 83318
Phone: (208) 878-3486
Fax: (208) 878-2005
Website:
Map and Directions
Authorized official contact:
Name: Klett, Michael P Doctor of Osteopathy (DO)
Phone: (208) 878-5255

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1043412133
LBN Legal business name Evening Medical Clinic
DBA Doing business as
Authorized official Klett, Michael P Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2007
Last updated Jul 16th, 2010 - about 15 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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