Gage Inpatient Services

LBN: Gage Inpatient Services
Gage Inpatient Services is an health care organization with primary practice located at 1221 Highland Ave , Clarkston WA 99403-2829. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Gage Inpatient Services can be contacted via phone (208) 799-5522, or through Iscovich, Angel via phone (214) 712-2403.

Contact Information

Primary practice address
1221 Highland Ave Clarkston WA 99403-2829
Phone: (208) 799-5522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iscovich, Angel Doctor of Medicine (MD)
Phone: (214) 712-2403

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1396779328
LBN Legal business name Gage Inpatient Services
DBA Doing business as
Authorized official Iscovich, Angel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2006
Last updated Apr 20th, 2008 - about 16 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 1396779328 NPPES
Idaho Other DUTD5 IDAHO BLUE CROSS
Idaho MEDICAID 7134851 IDAHO BLUE CROSS

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