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 Road , Meridian ID 83642. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Ambulatory Surgical. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Idaho Physical Medicine And Rehabilitation Pa can be contacted via phone (208) 884-1333, or through Shelton, Kate A via phone (208) 287-6558.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ||
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | Idaho |
Profile Details
| NPI number | 1497949705 |
|---|---|
| LBN Legal business name | Idaho Physical Medicine And Rehabilitation Pa |
| DBA Doing business as | |
| Authorized official | Shelton, Kate A |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Jun 5th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497949705 | NPPES |
| Idaho | MEDICAID | 808002500 | |
| Idaho | Other | P00612157 |
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