Idaho State Veteran Home - Lewiston

LBN: Idaho State Veteran Home - Lewiston
Idaho State Veteran Home - Lewiston is an health care organization with primary practice located at 821 21St Ave , Lewiston ID 83501-6389. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Idaho State Veteran Home - Lewiston can be contacted via phone (208) 799-3422, or through Crafton, K Douglas via phone (208) 799-3422.

Contact Information

Primary practice address
821 21St Ave Lewiston ID 83501-6389
Phone: (208) 799-3422
Fax: (208) 743-8833
Website:
Map and Directions
Authorized official contact:
Name: Crafton, K Douglas RPH
Phone: (208) 799-3422

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 1042HP Idaho

Profile Details

NPI number 1689687261
LBN Legal business name Idaho State Veteran Home - Lewiston
DBA Doing business as
Authorized official Crafton, K Douglas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Mar 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689687261 NPPES
Idaho Other 1307102 NCPDP NUMBER

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