Idaho Dept Of Health & Welfare Itp Region 6

LBN: Idaho Dept Of Health & Welfare Itp Region 6
Idaho Dept Of Health & Welfare Itp Region 6 is an health care organization with primary practice located at 421 Memorial Dr , Pocatello ID 83201-4008. The organization recently has 2 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is the primary health care specialty. Idaho Dept Of Health & Welfare Itp Region 6 can be contacted via phone (208) 234-7900, or through Jones, Mary J via phone (208) 334-5523.

Contact Information

Primary practice address
421 Memorial Dr Pocatello ID 83201-4008
Phone: (208) 234-7900
Fax: (208) 236-6328
Website:
Map and Directions
Authorized official contact:
Name: Jones, Mary J B.U.S.
Phone: (208) 334-5523

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Early Intervention Provider Agency 252Y00000X Idaho

Profile Details

NPI number 1164563508
LBN Legal business name Idaho Dept Of Health & Welfare Itp Region 6
DBA Doing business as
Authorized official Jones, Mary J B.U.S.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 5th, 2013 - about 12 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 1164563508 NPPES
Idaho Other 000010019386 BLUE SHIELD
Idaho MEDICAID 0028414 BLUE SHIELD
Idaho Other HW165 BLUE SHIELD

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