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
Phone: (208) 524-4660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306862503 | NPPES |
| Idaho | Other | 8A943 | BLUE CROSS GROUP # |
| Idaho | Other | 29390 | BLUE CROSS GROUP # |
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