Intermountain Spine And Orthopedics, Pc

LBN: Intermountain Spine And Orthopedics, Pc
Intermountain Spine And Orthopedics, Pc is an health care organization with primary practice located at 1411 Falls Ave E Suite 1301, Twin Falls ID 83301-3455. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is the primary health care specialty. Intermountain Spine And Orthopedics, Pc can be contacted via phone (208) 732-0067, or through Christensen, David M via phone (208) 732-0067.

Contact Information

Primary practice address
1411 Falls Ave E Suite 1301 Twin Falls ID 83301-3455
Phone: (208) 732-0067
Fax: (208) 732-3195
Website:
Map and Directions
Authorized official contact:
Name: Christensen, David M Doctor of Medicine (MD)
Phone: (208) 732-0067

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1821036724
LBN Legal business name Intermountain Spine And Orthopedics, Pc
DBA Doing business as
Authorized official Christensen, David M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Oct 1st, 2020 - about 5 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 1821036724 NPPES
Idaho Other 000010148684 BLUE SHIELD
Idaho Other DC8006 BLUE SHIELD
Idaho Other 8J828 BLUE SHIELD
Idaho MEDICAID 807012500 BLUE SHIELD

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