Innovative Health Care Concepts Inc

LBN: Innovative Health Care Concepts Inc
Innovative Health Care Concepts Inc is an health care organization with primary practice located at 115 E 16Th St , Idaho Falls ID 83404-5919. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Innovative Health Care Concepts Inc can be contacted via phone (208) 523-6727, or through Smith, Lisa Michelle via phone (208) 523-1130.

Contact Information

Primary practice address
115 E 16Th St Idaho Falls ID 83404-5919
Phone: (208) 523-6727
Fax: (208) 523-6729
Website:
Map and Directions
Authorized official contact:
Name: Smith, Lisa Michelle
Phone: (208) 523-1130

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1861035248
LBN Legal business name Innovative Health Care Concepts Inc
DBA Doing business as
Authorized official Smith, Lisa Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2019
Last updated Jun 2nd, 2020 - about 4 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 1861035248 NPPES
Idaho MEDICAID 2741600

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