Falls Centre For Functional Medicine, Pllc.
LBN: Falls Centre For Functional Medicine, Pllc.
Falls Centre For Functional Medicine, Pllc. is an health care organization with primary practice located at 236 Martin St , Twin Falls ID 83301-4542. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Falls Centre For Functional Medicine, Pllc. can be contacted via phone (208) 733-4444, or through Hicks, Geoffrey Neil via phone (208) 733-4444.
Contact Information
Primary practice address
236 Martin St
Twin Falls ID 83301-4542
Phone: (208) 733-4444
Fax: (208) 733-4456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | O-180 | Idaho |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | O-180 | Idaho |
Profile Details
| NPI number | 1962916304 |
|---|---|
| LBN Legal business name | Falls Centre For Functional Medicine, Pllc. |
| DBA Doing business as | |
| Authorized official | Hicks, Geoffrey Neil NP-C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 21st, 2017 |
| Last updated | Feb 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962916304 | NPPES |
| Idaho | MEDICAID | 807183500 | |
| Idaho | MEDICAID | 1730283250 |
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