Ketamine Infusions Of Idaho

LBN: Ketamine Infusions Of Idaho
Ketamine Infusions Of Idaho is an health care organization with primary practice located at 1582 Elk Creek Dr , Idaho Falls ID 83404-8322. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Ketamine Infusions Of Idaho can be contacted via phone (208) 607-8401, or through Stubbs, Christina via phone (208) 607-8401.

Contact Information

Primary practice address
1582 Elk Creek Dr Idaho Falls ID 83404-8322
Phone: (208) 607-8401
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stubbs, Christina Certified Registered Nurse Anesthetist (CRNA)
Phone: (208) 607-8401

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1730769142
LBN Legal business name Ketamine Infusions Of Idaho
DBA Doing business as
Authorized official Stubbs, Christina Certified Registered Nurse Anesthetist (CRNA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2021
Last updated Apr 9th, 2021 - about 3 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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