Idaho Physicians Clinic

LBN: Idaho Physicians Clinic
Idaho Physicians Clinic is an health care organization with primary practice located at 98 Poplar St , Blackfoot ID 83221-1758. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Idaho Physicians Clinic can be contacted via phone (208) 785-3800, or through Kraml, Louis via phone (208) 785-3804.

Contact Information

Primary practice address
98 Poplar St Blackfoot ID 83221-1758
Phone: (208) 785-3800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kraml, Louis
Phone: (208) 785-3804

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 36 Idaho

Profile Details

NPI number 1114907532
LBN Legal business name Idaho Physicians Clinic
DBA Doing business as
Authorized official Kraml, Louis
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1114907532 NPPES
Idaho Other 8F496 BLUE CROSS PROVIDER #
Idaho Other 000010137702 BLUE CROSS PROVIDER #

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