Pa Grp

LBN: Idaho Physical Medicine & Rehabilitation
Pa Grp is an health care organization with primary practice located at 600 Robbins Rd , Boise ID 83702-4539. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as the primary health care specialty. Idaho Physical Medicine & Rehabilitation can be contacted via phone (208) 489-4016, or through Lee, Sharon A via phone (208) 489-5160.

Contact Information

Primary practice address
600 Robbins Rd Boise ID 83702-4539
Phone: (208) 489-4016
Fax: (208) 489-4015
Website:
Map and Directions
Authorized official contact:
Name: Lee, Sharon A
Phone: (208) 489-5160

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1497969604
LBN Legal business name Idaho Physical Medicine & Rehabilitation
DBA Doing business as Pa Grp
Authorized official Lee, Sharon A
Entity Organization
Organization subpart 1 Yes
Enumeration date May 9th, 2007
Last updated Mar 16th, 2010 - about 15 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 1497969604 NPPES
Idaho MEDICAID 80746780

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