Mountain States Cardiovascular And Thoracic Surgery, Pllc

LBN: Mountain States Cardiovascular And
Mountain States Cardiovascular And Thoracic Surgery, Pllc is an health care organization with primary practice located at 2225 Teton Plz Ste B , Idaho Falls ID 83404-6494. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mountain States Cardiovascular And can be contacted via phone (208) 524-4660, or through Alcox, Lisa A via phone (208) 524-4660.

Contact Information

Primary practice address
2225 Teton Plz Ste B Idaho Falls ID 83404-6494
Fax:
Website:
Authorized official contact:
Name: Alcox, Lisa A

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M-6479 M-7194 Idaho

Profile Details

NPI number 1306862503
LBN Legal business name Mountain States Cardiovascular And
DBA Doing business as Mountain States Cardiovascular And Thoracic Surgery, Pllc
Authorized official Alcox, Lisa A
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1306862503 NPPES
Idaho Other 8A943 BLUE CROSS GROUP #
Idaho Other 29390 BLUE CROSS GROUP #

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