Mountain States Oncology Group

LBN: Mountain States Oncology Group
Mountain States Oncology Group is an health care organization with primary practice located at 100 E Idaho St , Boise ID 83712-6223. The organization recently has only one registered license in Other Service Providers / Specialist, 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
100 E Idaho St Boise ID 83712-6223
Phone: (208) 343-3223
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sullivan, Joni
Phone: (208) 343-3223

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1386750859
LBN Legal business name Mountain States Oncology Group
DBA Doing business as
Authorized official Sullivan, Joni
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 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.

Request for update

Popular Providers