Idaho Physical Medicine And Rehabilitation Pa

LBN: Idaho Physical Medicine And Rehabilitation Pa
Idaho Physical Medicine And Rehabilitation Pa is an health care organization with primary practice located at 3551 E. Overland Rd. , Meridian ID 83642. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Idaho Physical Medicine And Rehabilitation Pa can be contacted via phone (208) 884-1333, or through Mecham, Tiffany via phone (208) 884-1333.

Contact Information

Primary practice address
3551 E. Overland Rd. Meridian ID 83642
Phone: (208) 884-1333
Fax: (208) 489-4015
Website:
Map and Directions
Authorized official contact:
Name: Mecham, Tiffany
Phone: (208) 884-1333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X Idaho
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X Idaho

Profile Details

NPI number 1497711329
LBN Legal business name Idaho Physical Medicine And Rehabilitation Pa
DBA Doing business as
Authorized official Mecham, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Jan 15th, 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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