Greenwald Neurosurgical

LBN: Greenwald Neurosurgical
Greenwald Neurosurgical is an health care organization with primary practice located at 3155 Channing Way Suite B, Idaho Falls ID 83404-7546. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Greenwald Neurosurgical can be contacted via phone (208) 535-4800, or through Ditmore, Janeene A via phone (208) 535-4800.

Contact Information

Primary practice address
3155 Channing Way Suite B Idaho Falls ID 83404-7546
Phone: (208) 535-4800
Fax: (208) 535-4807
Website:
Map and Directions
Authorized official contact:
Name: Ditmore, Janeene A
Phone: (208) 535-4800

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M-6947 Idaho

Profile Details

NPI number 1124198403
LBN Legal business name Greenwald Neurosurgical
DBA Doing business as
Authorized official Ditmore, Janeene A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 13th, 2009 - 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 1124198403 NPPES
Idaho Other 76836 BLUE CROSS
Idaho Other 8M987 BLUE CROSS
Idaho Other 000010001551 BLUE CROSS

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