Jordan Ridge Family Medicine Llc

LBN: Jordan Ridge Family Medicine Llc
Jordan Ridge Family Medicine Llc is an health care organization with primary practice located at 322 E Front St , Boise ID 83702-7374. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, Mobile, which is considered as the primary health care specialty. Jordan Ridge Family Medicine Llc can be contacted via phone (385) 274-3959, or through Castillo, Emily via phone (702) 480-2550.

Contact Information

Primary practice address
322 E Front St Boise ID 83702-7374
Fax: (385) 274-3970
Website:
Authorized official contact:
Name: Castillo, Emily MANAGER

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology, Mobile 261QR0208X

Profile Details

NPI number 1578277950
LBN Legal business name Jordan Ridge Family Medicine Llc
DBA Doing business as
Authorized official Castillo, Emily MANAGER
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2023
Last updated Jan 10th, 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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