Mountain States Neonatology, Inc.

LBN: Mountain States Neonatology, Inc.
Mountain States Neonatology, Inc. is an health care organization with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is the primary health care specialty. Mountain States Neonatology, Inc. can be contacted via phone (208) 367-7610, or through Sanders, Nanette via phone (800) 243-3839.

Contact Information

Primary practice address
1055 N Curtis Rd Boise ID 83706-1309
Phone: (208) 367-7610
Fax: (208) 367-7616
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Nanette
Phone: (800) 243-3839

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X

Profile Details

NPI number 1205850823
LBN Legal business name Mountain States Neonatology, Inc.
DBA Doing business as
Authorized official Sanders, Nanette
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 9th, 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 1205850823 NPPES
Idaho MEDICAID 806075900

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