James G. Saccomando, Jr, M.D P.A.

LBN: James G. Saccomando, Jr, M.D P.A.
James G. Saccomando, Jr, M.D P.A. is an health care organization with primary practice located at 1423 W Franklin St , Boise ID 83702-5024. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. James G. Saccomando, Jr, M.D P.A. can be contacted via phone (208) 345-2212, or through Saccomando, James G via phone (208) 345-2212.

Contact Information

Primary practice address
1423 W Franklin St Boise ID 83702-5024
Phone: (208) 345-2212
Fax: (208) 345-2282
Website:
Map and Directions
Authorized official contact:
Name: Saccomando, James G Doctor of Medicine (MD)
Phone: (208) 345-2212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M9565 Idaho

Profile Details

NPI number 1720244700
LBN Legal business name James G. Saccomando, Jr, M.D P.A.
DBA Doing business as
Authorized official Saccomando, James G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2008
Last updated Mar 8th, 2018 - about 6 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 1720244700 NPPES
Idaho MEDICAID 807512200

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