Mountain States Group, Inc

LBN: Mountain States Group, Inc
Mountain States Group, Inc is an health care organization with primary practice located at 1607 W Jefferson St , Boise ID 83702-5111. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mountain States Group, Inc can be contacted via phone (208) 336-5533, or through Cobbs, Hartzell via phone (208) 336-5533.

Contact Information

Primary practice address
1607 W Jefferson St Boise ID 83702-5111
Phone: (208) 336-5533
Fax: (208) 947-4290
Website:
Map and Directions
Authorized official contact:
Name: Cobbs, Hartzell REL.D.
Phone: (208) 336-5533

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1861548794
LBN Legal business name Mountain States Group, Inc
DBA Doing business as
Authorized official Cobbs, Hartzell REL.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1861548794 NPPES
Idaho Other 000010144428 REGENCEBLUESHIELDCLINIC
Idaho Other 8H237 REGENCEBLUESHIELDCLINIC

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