Digestive Health Center

LBN: Grand Teton Gastroenterology, Pa
Digestive Health Center is an health care organization with primary practice located at 2770 Cortez Ave , Idaho Falls ID 83404-7590. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Grand Teton Gastroenterology, Pa can be contacted via phone (208) 522-4000, or through Lemons, Melissa Dawn via phone (208) 528-4255.

Contact Information

Primary practice address
2770 Cortez Ave Idaho Falls ID 83404-7590
Phone: (208) 522-4000
Fax: (208) 528-4242
Website:
Map and Directions
Authorized official contact:
Name: Lemons, Melissa Dawn CCS-P
Phone: (208) 528-4255

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1154390938
LBN Legal business name Grand Teton Gastroenterology, Pa
DBA Doing business as Digestive Health Center
Authorized official Lemons, Melissa Dawn CCS-P
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Jun 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154390938 NPPES
Idaho MEDICAID 002708500

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