Mdc Magic Valley

LBN: Midnight Oil Ltd
Mdc Magic Valley is an health care organization with primary practice located at 798 Lawrence Ave , Twin Falls ID 83301-3635. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Nursing Care, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Midnight Oil Ltd can be contacted via phone (208) 324-6776, or through Bennett, Rob via phone (208) 961-1469.

Contact Information

Primary practice address
798 Lawrence Ave Twin Falls ID 83301-3635
Fax: (208) 324-6636
Website:
Authorized official contact:
Name: Bennett, Rob

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X RHA-272 Idaho
Agencies / Nursing Care 251J00000X
Agencies / Community/Behavioral Health 251S00000X RHA-272 Idaho

Profile Details

NPI number 1518185628
LBN Legal business name Midnight Oil Ltd
DBA Doing business as Mdc Magic Valley
Authorized official Bennett, Rob
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 16th, 2014 - about 10 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 1518185628 NPPES
Idaho MEDICAID M8066599
Idaho MEDICAID 807628200

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