Independent Growth

LBN: Independent Growth
Independent Growth is an health care organization with primary practice located at 2173 Overland Ave Box 756, Burley ID 83318-2927. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Independent Growth can be contacted via phone (208) 678-9165, or through Brennen, Lynda via phone (208) 678-9165.

Contact Information

Primary practice address
2173 Overland Ave Box 756 Burley ID 83318-2927
Phone: (208) 678-9165
Fax: (208) 679-5985
Website:
Map and Directions
Authorized official contact:
Name: Brennen, Lynda
Phone: (208) 678-9165

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Idaho

Profile Details

NPI number 1790997955
LBN Legal business name Independent Growth
DBA Doing business as
Authorized official Brennen, Lynda
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Jul 21st, 2022 - about 2 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 1790997955 NPPES
Idaho MEDICAID 0027664
Idaho MEDICAID 0027665

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