Idaho State University

LBN: Idaho State University
Idaho State University is an health care organization with primary practice located at 1311 E Central Dr , Meridian ID 83642-7991. The organization recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Education is the primary health care specialty. Idaho State University can be contacted via phone (208) 373-1926, or through Rock, Cynthia Lee via phone (208) 373-1743.

Contact Information

Primary practice address
1311 E Central Dr Meridian ID 83642-7991
Phone: (208) 373-1926
Fax: (833) 499-1813
Website:
Map and Directions
Authorized official contact:
Name: Rock, Cynthia Lee
Phone: (208) 373-1743

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X

Profile Details

NPI number 1487245122
LBN Legal business name Idaho State University
DBA Doing business as
Authorized official Rock, Cynthia Lee
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2021
Last updated Jan 26th, 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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