Idaho State University Speech & Hearing Clinic

LBN: Idaho State University
Idaho State University Speech & Hearing Clinic is an health care organization with primary practice located at 650 Memorial Drive Bldg #68, Pocatello ID 83201. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is the primary health care specialty. Idaho State University can be contacted via phone (208) 282-3495, or through Rock, Cynthia L via phone (208) 373-1743.

Contact Information

Primary practice address
650 Memorial Drive Bldg #68 Pocatello ID 83201
Phone: (208) 282-3495
Fax: (208) 282-4571
Website:
Map and Directions
Authorized official contact:
Name: Rock, Cynthia L
Phone: (208) 373-1743

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1952474777
LBN Legal business name Idaho State University
DBA Doing business as Idaho State University Speech & Hearing Clinic
Authorized official Rock, Cynthia L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Feb 27th, 2024 - about last year

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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