Mangum Primary Care Llc

LBN: Mangum Primary Care Llc
Mangum Primary Care Llc is an health care organization with primary practice located at 3046 S Bown Way , Boise ID 83706-5499. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mangum Primary Care Llc can be contacted via phone (801) 793-8124, or through Mangum, Meredith Kaye via phone (801) 793-8124.

Contact Information

Primary practice address
3046 S Bown Way Boise ID 83706-5499
Phone: (801) 793-8124
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mangum, Meredith Kaye FNP-C
Phone: (801) 793-8124

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1194494229
LBN Legal business name Mangum Primary Care Llc
DBA Doing business as
Authorized official Mangum, Meredith Kaye FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2021
Last updated Sep 11th, 2021 - 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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