Idaho Recovery Center, Llc.

LBN: Idaho Recovery Center, Llc.
Idaho Recovery Center, Llc. is an health care organization with primary practice located at 771 South Woodruff Avenue , Idaho Falls ID 83401. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Idaho Recovery Center, Llc. can be contacted via phone (208) 534-8303, or through Smith, Matthew via phone (208) 534-8303.

Contact Information

Primary practice address
771 South Woodruff Avenue Idaho Falls ID 83401
Phone: (208) 534-8303
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Matthew DIRECTOR
Phone: (208) 534-8303

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1366099293
LBN Legal business name Idaho Recovery Center, Llc.
DBA Doing business as
Authorized official Smith, Matthew DIRECTOR
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2019
Last updated Aug 26th, 2019 - 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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