Family Care Clinic Llc

LBN: Family Care Clinic Llc
Family Care Clinic Llc is an health care organization with primary practice located at 8050 W Rifleman St Ste 100 , Boise ID 83704-9006. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Family Care Clinic Llc can be contacted via phone (208) 321-0634, or through Miller, Laurie via phone (208) 321-0634.

Contact Information

Primary practice address
8050 W Rifleman St Ste 100 Boise ID 83704-9006
Phone: (208) 321-0634
Fax: (208) 321-1082
Website:
Map and Directions
Authorized official contact:
Name: Miller, Laurie
Phone: (208) 321-0634

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1568700128
LBN Legal business name Family Care Clinic Llc
DBA Doing business as
Authorized official Miller, Laurie
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 16th, 2013
Last updated Aug 5th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568700128 NPPES
Idaho MEDICAID 1265565477

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