Michael A. Bloom D.M.D. Pllc

LBN: Michael A. Bloom D.M.D. Pllc
Michael A. Bloom D.M.D. Pllc is an health care organization with primary practice located at 9928 N Government Way , Hayden Lake ID 83835-9604. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Michael A. Bloom D.M.D. Pllc can be contacted via phone (208) 772-3583, or through Marks, Kathy L. via phone (208) 772-3583.

Contact Information

Primary practice address
9928 N Government Way Hayden Lake ID 83835-9604
Phone: (208) 772-3583
Fax: (208) 772-3224
Website:
Map and Directions
Authorized official contact:
Name: Marks, Kathy L.
Phone: (208) 772-3583

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X D3394 Idaho
Managed Care Organizations / Health Maintenance Organization 302R00000X D3555 Idaho

Profile Details

NPI number 1033554845
LBN Legal business name Michael A. Bloom D.M.D. Pllc
DBA Doing business as
Authorized official Marks, Kathy L.
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2013
Last updated May 7th, 2013 - about 12 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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