Hailey A. Clark Fnp-C Llc

LBN: Hailey A. Clark Fnp-C Llc
Hailey A. Clark Fnp-C Llc is an health care organization with primary practice located at 814 Pancheri Dr , Idaho Falls ID 83402-3344. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Hailey A. Clark Fnp-C Llc can be contacted via phone (208) 223-1049, or through Clark, Hailey Anne via phone (208) 223-1049.

Contact Information

Primary practice address
814 Pancheri Dr Idaho Falls ID 83402-3344
Phone: (208) 223-1049
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Hailey Anne FNP-C
Phone: (208) 223-1049

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1689269177
LBN Legal business name Hailey A. Clark Fnp-C Llc
DBA Doing business as
Authorized official Clark, Hailey Anne FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2021
Last updated Mar 5th, 2021 - about 3 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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