Idaho Falls Recovery Center

LBN: Idaho Falls Recovery Center
Idaho Falls Recovery Center is an health care organization with primary practice located at 1957 E 17Th Street , Idaho Falls ID 83404. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Idaho Falls Recovery Center can be contacted via phone (208) 529-5285, or through Shurtlife, Daryl R via phone (208) 529-5285.

Contact Information

Primary practice address
1957 E 17Th Street Idaho Falls ID 83404
Phone: (208) 529-5285
Fax: (208) 529-5287
Website:
Map and Directions
Authorized official contact:
Name: Shurtlife, Daryl R
Phone: (208) 529-5285

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 56 Idaho

Profile Details

NPI number 1942308986
LBN Legal business name Idaho Falls Recovery Center
DBA Doing business as
Authorized official Shurtlife, Daryl R
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1942308986 NPPES
Idaho Other 00638 BLUE CROSS

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