Humphreys Diabetes Center

LBN: Humphreys Diabetes Center
Humphreys Diabetes Center is an health care organization with primary practice located at 1226 W River St , Boise ID 83702-7049. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is the primary health care specialty. Humphreys Diabetes Center can be contacted via phone (208) 331-1155, or through Scanlon, Robert W via phone (208) 331-1155.

Contact Information

Primary practice address
1226 W River St Boise ID 83702-7049
Phone: (208) 331-1155
Fax: (208) 383-0190
Website:
Map and Directions
Authorized official contact:
Name: Scanlon, Robert W
Phone: (208) 331-1155

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY331 Idaho
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D33630 Idaho

Profile Details

NPI number 1821263088
LBN Legal business name Humphreys Diabetes Center
DBA Doing business as
Authorized official Scanlon, Robert W
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Nov 21st, 2008 - about 18 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 1821263088 NPPES
Idaho Other 8G502 BLUE CROSS
Idaho MEDICAID 806348400 BLUE CROSS
Idaho Other 1374744 BLUE CROSS

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