Mountain States Oncology Group

LBN: Mountain States Oncology Group
Mountain States Oncology Group is an health care organization with primary practice located at 210 W Jefferson St , Boise ID 83702-6044. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Mountain States Oncology Group can be contacted via phone (208) 343-3223, or through Sullivan, Joni via phone (208) 343-3223.

Contact Information

Primary practice address
210 W Jefferson St Boise ID 83702-6044
Phone: (208) 343-3223
Fax: (208) 343-3263
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Joni
Phone: (208) 343-3223

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1205093739
LBN Legal business name Mountain States Oncology Group
DBA Doing business as
Authorized official Sullivan, Joni
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2008
Last updated May 21st, 2008 - about 16 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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