Evergreen Physical Medicine
LBN: Evergreen Physical Medicine, Llc
Evergreen Physical Medicine is an health care organization with primary practice located at 1710 W Cherry Ln , Meridian ID 83642-1340. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty.
Evergreen Physical Medicine, Llc can be contacted via phone (208) 895-8595, or through Dance, Summer via phone (208) 895-8595.
Contact Information
Primary practice address
1710 W Cherry Ln
Meridian ID 83642-1340
Phone: (208) 895-8595
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
NPI number | 1538668421 |
---|---|
LBN Legal business name | Evergreen Physical Medicine, Llc |
DBA Doing business as | Evergreen Physical Medicine |
Authorized official | Dance, Summer |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 6th, 2018 |
Last updated | Feb 6th, 2018 - about 6 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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