North Idaho Orthopedics & Sports Medicine

LBN: Michael R Dibenedetto Md Pllc
North Idaho Orthopedics & Sports Medicine is an health care organization with primary practice located at 30544 Hwy 200 Ste 102, Ponderay ID 83852. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Ambulatory Health Care Facilities / Rehabilitation, Cardiac Facilities. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Michael R Dibenedetto Md Pllc can be contacted via phone (208) 265-9836, or through Garman, Daniel P via phone (208) 265-9817.

Contact Information

Primary practice address
30544 Hwy 200 Ste 102 Ponderay ID 83852
Phone: (208) 265-9836
Fax: (208) 263-7249
Website:
Map and Directions
Authorized official contact:
Name: Garman, Daniel P
Phone: (208) 265-9817

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Ambulatory Health Care Facilities / Rehabilitation, Cardiac Facilities 261QR0404X

Profile Details

NPI number 1083809727
LBN Legal business name Michael R Dibenedetto Md Pllc
DBA Doing business as North Idaho Orthopedics & Sports Medicine
Authorized official Garman, Daniel P
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated May 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083809727 NPPES
Idaho Other DG3627 PALMETTO GBA RAILROAD MED
Idaho MEDICAID 806452000 PALMETTO GBA RAILROAD MED
Idaho Other 000010140056 PALMETTO GBA RAILROAD MED
Idaho Other 8N259 PALMETTO GBA RAILROAD MED

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